| Richard Federbush Md Pc | |
|
175 Jericho Tpke Suite 216 Syosset NY 11791-4532 | |
| (516) 364-9800 | |
| (516) 364-9802 |
| Full Name | Richard Federbush Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 175 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Richard Bart Federbush (PRESIDENT) |
| Authorized Official Contact | 5163649800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Federbush Md Pc 175 Jericho Turnpike Suite 216 Syosset NY 11791-4538 Ph: (516) 364-9800 | Richard Federbush Md Pc 175 Jericho Tpke Suite 216 Syosset NY 11791-4532 Ph: (516) 364-9800 |
| NPI Number | 1851694897 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851694897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 178410 (New York) | Primary |
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