Richman, Kenneth Bruce

Richman, Kenneth Bruce is an individual health care provider with primary practice located at 1 Healthy Way Attn: Radiology, Oceanside NY 11572-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Richman, Kenneth Bruce can be contacted via phone (516) 632-4656.

Contact Information

Primary practice address
1 Healthy Way Attn: Radiology Oceanside NY 11572-1551
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 144121 New York

Profile Details

NPI number 1912997578
LBN Legal business name Richman, Kenneth Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Dec 6th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912997578 NPPES
New York MEDICAID 01026044

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