Individual
RICARDO E MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 FOREST HILL RD, NYS INSTITUTE FOR BASIC RESEARCH, STATEN ISLAND, NY 10314
(718) 494-5141
(718) 494-2258
Mailing address
1050 FOREST HILL RD, NYS INSTITUTE FOR BASIC RESEARCH, STATEN ISLAND, NY 10314
(718) 494-5141
(718) 494-2258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
154775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01180318
—
NY
01
—
223713P
HIP
—
01
—
3001798
GHI
—
01
—
5674169
CIGNA
—
01
—
7470752
AETNA
—
01
—
P3641912
OXFORD
—
Enumeration date
04/11/2006
Last updated
05/02/2008
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