| Richard Rise Physician Pc | |
|
70 Glen St Suite 101 Glen Cove NY 11542-2855 | |
| (516) 589-0043 | |
| (516) 396-0551 |
| Full Name | Richard Rise Physician Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 70 Glen St, Glen Cove, New York |
| Authorized Official Name and Position | Richard Rise (OWNER) |
| Authorized Official Contact | 5165890043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Rise Physician Pc 70 Glen St Glen Cove NY 11542-2855 Ph: (516) 589-0043 | Richard Rise Physician Pc 70 Glen St Suite 101 Glen Cove NY 11542-2855 Ph: (516) 589-0043 |
| NPI Number | 1952435000 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952435000 | NPI | - | NPPES |
| 185249 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 185249 (New York) | Primary |
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