Carl Richardson
NPI #1114570983 in Springfield Gardens, New York
Provider Information
- NPI Number
- 1114570983
- Entity Type
- Individual
- Name
- Carl Richardson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 22, 2019
- Last Updated
- Jul 22, 2019
Practice Location
- Address
- 14556 229TH ST
- State
- New York
- ZIP Code
- 11413-3923
- Phone
- (800) 313-7591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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