Provider Demographics
NPI:1801117668
Name:RICHMOND UNIVESITY
Entity type:Organization
Organization Name:RICHMOND UNIVESITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MED RESIDENCY COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIBONATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-818-2419
Mailing Address - Street 1:49 AUTUMN CIR
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1605
Mailing Address - Country:US
Mailing Address - Phone:914-522-2054
Mailing Address - Fax:
Practice Address - Street 1:49 AUTUMN CIR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1605
Practice Address - Country:US
Practice Address - Phone:914-522-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural