Provider Demographics
NPI:1609956598
Name:EPSTEIN, RICHARD DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DAVID
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8901 SHORE RD
Mailing Address - Street 2:APT. 8D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5451
Mailing Address - Country:US
Mailing Address - Phone:718-745-8885
Mailing Address - Fax:718-368-5024
Practice Address - Street 1:8801 SHORE RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5450
Practice Address - Country:US
Practice Address - Phone:718-745-8885
Practice Address - Fax:718-368-5024
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY118253207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0079150OtherGHI
NYB80229Medicare UPIN
NY0079150OtherGHI