Provider Demographics
NPI:1619035862
Name:RINDFUSS, RICHARD THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:RINDFUSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 12TH ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5146
Mailing Address - Country:US
Mailing Address - Phone:917-922-6384
Mailing Address - Fax:646-967-2001
Practice Address - Street 1:3417 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2611
Practice Address - Country:US
Practice Address - Phone:646-967-2000
Practice Address - Fax:646-967-2001
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225646207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00298882Medicaid
H74685Medicare UPIN
NY582E81Medicare ID - Type Unspecified