Provider Demographics
NPI:1710206560
Name:RICHMOND UNIVERSITY MEDICAL CENTER
Entity Type:Organization
Organization Name:RICHMOND UNIVERSITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL RESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYEDA
Authorized Official - Middle Name:FARHANA
Authorized Official - Last Name:AFRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-818-2419
Mailing Address - Street 1:22 RIVER TER APT 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-1142
Mailing Address - Country:US
Mailing Address - Phone:718-812-1492
Mailing Address - Fax:
Practice Address - Street 1:22 RIVER TER APT 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-1142
Practice Address - Country:US
Practice Address - Phone:718-812-1492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit