MEDICARE: DR. RICHARD E. HONIGMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	131101	NY

General Provider Information

NPI Number	:	1427050392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD E. HONIGMAN M.D.

Provider Business Mailing Address
First Line	:	3601 HEMPSTEAD TPKE
Second Line	:	SUITE 416
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-1375
Country	:	US
Telephone Number	:	516-731-8050
Fax Number	:	516-731-0310

Provider Business Practice Location Address
First Line	:	3601 HEMPSTEAD TPKE
Second Line	:	SUITE 416
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-1375
Country	:	US
Telephone Number	:	516-731-8050
Fax Number	:	516-731-0310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

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