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General NPI Number Information
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NPI Number | 1831367788
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Entity Type | Individual
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Provider Name | GIDEON D RICHARDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 233 7TH STREET SUITE 203
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 515-294-7666
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Fax | 516-294-7672
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Provider Business Mailing Address
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Address Line | 450 LAKEVILLE ROAD SMITH INSTITUTE OF UROLOGY SUITE M41
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City | NEW HYDE PARK
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State | NY
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Zip | 11042
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Country | US
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Telephone | 516-675-4961
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Fax | 526-294-7672
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A108746
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 268816-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 49394
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 268816
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License Number State | NY
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