Healthcare Provider Details

I. General information

NPI: 1093714156
Provider Name (Legal Business Name): AARON DAVID RICHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 10/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 CROMPOND RD BLDG D
CORTLANDT MANOR NY
10567-4146
US

IV. Provider business mailing address

50 DAYTON LN SUITE 202
PEEKSKILL NY
10566-2859
US

V. Phone/Fax

Practice location:
  • Phone: 914-739-6550
  • Fax: 914-739-4575
Mailing address:
  • Phone: 914-739-0087
  • Fax: 914-737-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number198118
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: