MEDICARE: DR. RICHARD L. OSHRAIN D.M.D.

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	1223P0300X	Periodontics	36234	NY

General Provider Information

NPI Number	:	1316948219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD L. OSHRAIN D.M.D.

Provider Business Mailing Address
First Line	:	2270 KIMBALL ST
Second Line	:	SUITE 211
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5139
Country	:	US
Telephone Number	:	718-253-3300
Fax Number	:	718-253-3301

Provider Business Practice Location Address
First Line	:	2270 KIMBALL ST
Second Line	:	SUITE 211
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5139
Country	:	US
Telephone Number	:	718-253-3300
Fax Number	:	718-253-3301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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