Provider Demographics
NPI:1154628501
Name:RICHMOND MEDICAL HEALTH CARE P.C.
Entity Type:Organization
Organization Name:RICHMOND MEDICAL HEALTH CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICION
Authorized Official - Prefix:DR
Authorized Official - First Name:ISOLDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAPOK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-351-1221
Mailing Address - Street 1:935 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2230
Mailing Address - Country:US
Mailing Address - Phone:718-351-1221
Mailing Address - Fax:718-351-1253
Practice Address - Street 1:2691 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4357
Practice Address - Country:US
Practice Address - Phone:718-351-1221
Practice Address - Fax:718-351-1253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty