Richard T Risko, DO

NPI #1225164627 in Wantagh, New York

Provider Information

NPI Number: 1225164627
Entity Type: Individual
Name: Richard T Risko, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2929 JERUSALEM AVE
City: Wantagh
State: New York
ZIP Code: 11793-2020
Phone: (516) 785-4815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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