| Richmond Medical Care Pc | |
|
1655 Richmond Ave Ste B102 Staten Island NY 10314-1582 | |
| (718) 682-1092 | |
| (718) 682-1093 |
| Full Name | Richmond Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1655 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Jean - Pierre G Barakat (PRESIDENT) |
| Authorized Official Contact | 6263991079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Medical Care Pc 1655 Richmond Ave Ste B102 Staten Island NY 10314-1582 Ph: (718) 682-1092 | Richmond Medical Care Pc 1655 Richmond Ave Ste B102 Staten Island NY 10314-1582 Ph: (718) 682-1092 |
| NPI Number | 1043610090 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043610090 | NPI | - | NPPES |
| 03055823 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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