Provider Demographics
NPI:1831367788
Name:RICHARDS, GIDEON D (MD)
Entity type:Individual
Prefix:DR
First Name:GIDEON
Middle Name:D
Last Name:RICHARDS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:450 LAKEVILLE ROAD SMITH INSTITUTE OF UROLOGY
Mailing Address - Street 2:SUITE M41
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-675-4961
Mailing Address - Fax:526-294-7672
Practice Address - Street 1:233 7TH STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:515-294-7666
Practice Address - Fax:516-294-7672
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2025-03-31
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Provider Licenses
StateLicense IDTaxonomies
CAA108746208800000X
NY268816-1208800000X
AZ49394208800000X
NY268816208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology