Provider Demographics
NPI:1861474546
Name:DAY, RICHARD CARUTHERS (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CARUTHERS
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3998 FAIR RIDGE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2921
Mailing Address - Country:US
Mailing Address - Phone:703-295-9360
Mailing Address - Fax:703-766-9725
Practice Address - Street 1:70 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-333-1445
Practice Address - Fax:703-766-9725
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1977131207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01752574Medicaid
NYP01229253OtherRAILROAD MEDICARE
NY01752574Medicaid
NY068A661Medicare PIN