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Individual

RICHARD JAY RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
12 ROSE ST, SAG HARBOR, NY 11963-0024
(631) 725-0555
(631) 725-0555
Mailing address
PO BOX 537, SAG HARBOR, NY 11963-0024
(631) 725-0555
(631) 725-0555

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
02975
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00423143
NY
Enumeration date
10/19/2006
Last updated
12/13/2007
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