Healthcare Provider Details
I. General information
NPI: 1447074554
Provider Name (Legal Business Name): RICHMOND ROBOTIC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1551 RICHMOND RD STE 2A
STATEN ISLAND NY
10304-2338
US
IV. Provider business mailing address
1551 RICHMOND RD STE 2A
STATEN ISLAND NY
10304-2338
US
V. Phone/Fax
- Phone: 718-442-4777
- Fax: 718-273-6635
- Phone: 718-442-4777
- Fax: 718-273-6635
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FREDERICK
L
SABIDO
Title or Position: PRESIDENT
Credential: MD
Phone: 718-442-4777