Provider Demographics
NPI:1134202294
Name:RICHARDS AND MCCUTCHEON LLP
Entity type:Organization
Organization Name:RICHARDS AND MCCUTCHEON LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCCUTCHEON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:607-257-1010
Mailing Address - Street 1:22 ARROWHEAD DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850
Mailing Address - Country:US
Mailing Address - Phone:607-257-1010
Mailing Address - Fax:607-257-1982
Practice Address - Street 1:22 ARROWHEAD DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850
Practice Address - Country:US
Practice Address - Phone:607-257-1010
Practice Address - Fax:607-257-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00420902Medicaid