Individual
KENNETH BRUCE RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, ATTN: RADIOLOGY, OCEANSIDE, NY 11572-1551
(516) 632-4656
Mailing address
PO BOX 5768, HICKSVILLE, NY 11802-5768
(516) 632-4656
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
144121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026044
—
NY
Enumeration date
10/25/2005
Last updated
12/06/2007
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