Richard Federbush MD PC

NPI #1851694897 in Syosset, New York

Provider Information

NPI Number: 1851694897
Entity Type: Organization
Organization Name: Richard Federbush MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 14, 2010
Last Updated: Dec 14, 2010

Practice Location

Address: 175 JERICHO TPKE
Address 2: SUITE 216
City: Syosset
State: New York
ZIP Code: 11791-4532
Phone: (516) 364-9800

Authorized Official

Name: DR. RICHARD BART FEDERBUSH, MD
Title: PRESIDENT
Phone: (516) 364-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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