Provider Demographics
NPI:1366682916
Name:BARD, RICHARD HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HENRY
Last Name:BARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E 57TH ST
Mailing Address - Street 2:APT. 6 B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3173
Mailing Address - Country:US
Mailing Address - Phone:212-421-4774
Mailing Address - Fax:
Practice Address - Street 1:435 E 57TH ST
Practice Address - Street 2:APT. 6 B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3173
Practice Address - Country:US
Practice Address - Phone:212-421-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099826208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology