Provider Demographics
NPI:1033273669
Name:AMIRAIAN, RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:AMIRAIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 57TH ST
Mailing Address - Street 2:15TH & 16TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3211
Mailing Address - Country:US
Mailing Address - Phone:212-247-8100
Mailing Address - Fax:212-713-1631
Practice Address - Street 1:200 W 57TH ST
Practice Address - Street 2:15TH & 16TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-247-8100
Practice Address - Fax:212-713-1631
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160220207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133010833OtherAETNA
NY133010833OtherCNA
NY23J181OtherEMPIRE BC BS PLUS
NY133010833OtherBEECH STREET
NY133010833Other1199
NY160220OtherHIP
NYNP306OtherOXFORD
NY0C2476OtherHEALTH NET
NY133010833OtherAARP
NY23J181OtherEMPIRE BC BS
NY133010833OtherGREAT WEST
NY1834050OtherUNITED HEALTH CARE
NY133010833OtherPHCS
NY133010833OtherMULTIPLAN
NY23J181OtherEMPIRE BC BS FEDERAL
NY23J181Medicare ID - Type UnspecifiedEMPIRE
NY23J181OtherEMPIRE BC BS PLUS
NY133010833OtherMULTIPLAN