MEDICARE: RICHMOND ROBOTIC SURGERY PC

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1447074554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHMOND ROBOTIC SURGERY PC

Provider Business Mailing Address
First Line	:	1551 RICHMOND RD STE 2A
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2338
Country	:	US
Telephone Number	:	718-442-4777
Fax Number	:	718-273-6635

Provider Business Practice Location Address
First Line	:	1551 RICHMOND RD STE 2A
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-2338
Country	:	US
Telephone Number	:	718-442-4777
Fax Number	:	718-273-6635

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FREDERICK L SABIDO
Credential	:	MD
Telephone Number	:	718-442-4777

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	11/14/2024

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