Richardson, William B
Richardson, William B is an individual health care provider with primary practice located at 3 Curtis Road Trivalley Family Practice Llc, Vernon NY 13476-0275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richardson, William B can be contacted via phone (315) 829-2220.Contact Information
Primary practice address
3 Curtis Road Trivalley Family Practice Llc
Vernon NY 13476-0275
Phone: (315) 829-2220
Fax: (315) 829-2014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 041817 | Connecticut |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 243766 | New York |
Profile Details
| NPI number | 1457409617 |
|---|---|
| LBN Legal business name | Richardson, William B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Jun 19th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457409617 | NPPES |
| New York | MEDICAID | 02879436 |
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