Provider Demographics
NPI:1356663678
Name:TINGER, RICHARD MATTHEW (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MATTHEW
Last Name:TINGER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 PALMER RD APT 3D
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3503
Mailing Address - Country:US
Mailing Address - Phone:914-720-9139
Mailing Address - Fax:914-771-5230
Practice Address - Street 1:949 PALMER RD APT 3D
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3503
Practice Address - Country:US
Practice Address - Phone:914-720-9139
Practice Address - Fax:914-771-5230
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026877-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist