Provider Demographics
NPI:1609811223
Name:RONALD C. RICHMAN MD P.C.
Entity Type:Organization
Organization Name:RONALD C. RICHMAN MD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-681-0888
Mailing Address - Street 1:700 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4932
Mailing Address - Country:US
Mailing Address - Phone:516-681-0888
Mailing Address - Fax:516-681-4778
Practice Address - Street 1:700 OLD COUNTRY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4932
Practice Address - Country:US
Practice Address - Phone:516-681-0888
Practice Address - Fax:516-681-4778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00325447OtherRAILROAD MEDICARE PIN
NYE17321Medicare UPIN
NYWHW221Medicare PIN