Provider Demographics
NPI:1336131739
Name:APPLE, RICHARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:APPLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22 HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6333
Mailing Address - Country:US
Mailing Address - Phone:631-555-0505
Mailing Address - Fax:718-256-6367
Practice Address - Street 1:22 HARBOR DR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6333
Practice Address - Country:US
Practice Address - Phone:316-553-0505
Practice Address - Fax:718-256-6367
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2023-10-09
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Provider Licenses
StateLicense IDTaxonomies
NY178131207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD243384ZEGJMedicare PIN