Provider Demographics
NPI:1861434714
Name:RICHMAN, RONALD C (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4932
Mailing Address - Country:US
Mailing Address - Phone:516-681-0888
Mailing Address - Fax:516-681-4778
Practice Address - Street 1:700 OLD COUNTRY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4932
Practice Address - Country:US
Practice Address - Phone:516-681-0888
Practice Address - Fax:516-681-4778
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0120734OtherGHI PIN
NY1220875OtherAETNA PIN
NY160623OtherHIP PIN
NYRR0394AZ10OtherEMPIRE BLUE CROSS BLUE SHIELD PIN
NY24651OtherVYTRA PIN
NYAP376OtherOXFORD PIN
NY0587188OtherCIGNA PIN
NY5C5788OtherHEALTHNET PIN
NYRR0394AZ10OtherEMPIRE BLUE CROSS BLUE SHIELD PIN
NY1220875OtherAETNA PIN