Provider Demographics
NPI:1528360088
Name:STRIPP, RICHARD ALBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALBERT
Last Name:STRIPP
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:586 NEW YORK AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4269
Mailing Address - Country:US
Mailing Address - Phone:631-923-0166
Mailing Address - Fax:631-923-0171
Practice Address - Street 1:586 NEW YORK AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4269
Practice Address - Country:US
Practice Address - Phone:631-923-0166
Practice Address - Fax:631-923-0171
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY33D1103254291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory