| Richmond Behavioral Wellness Physician Pllc | |
|
260 Christopher Ln Ste 3f Staten Island NY 10314-1607 | |
| (718) 317-5522 | |
| (718) 494-5714 |
| Full Name | Richmond Behavioral Wellness Physician Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 260 Christopher Ln Ste 3f, Staten Island, New York |
| Authorized Official Name and Position | Mark Dibuono (OWNER) |
| Authorized Official Contact | 7183175522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Behavioral Wellness Physician Pllc 260 Christopher Ln Ste 3f Staten Island NY 10314-1607 Ph: (718) 317-5522 | Richmond Behavioral Wellness Physician Pllc 260 Christopher Ln Ste 3f Staten Island NY 10314-1607 Ph: (718) 317-5522 |
| NPI Number | 1598583494 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598583494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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