Healthcare Provider Details

I. General information

NPI: 1881865905
Provider Name (Legal Business Name): RICHARD J STRAUSS, M.D.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NORTHERN BLVD SUITE 130
GREAT NECK NY
11021-5312
US

IV. Provider business mailing address

1000 NORTHERN BLVD SUITE 130
GREAT NECK NY
11021-5312
US

V. Phone/Fax

Practice location:
  • Phone: 516-466-5260
  • Fax: 516-466-5266
Mailing address:
  • Phone: 516-466-5260
  • Fax: 516-466-5266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number116377
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number116377
License Number StateNY

VIII. Authorized Official

Name: RICHARD J STRAUSS
Title or Position: PHYSICIAN
Credential: M.D.P.C.
Phone: 516-466-5260