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NPI Code Detail

MEDICARE: DR. RICHARD AXEL M.D.

MEDICARE: DR. RICHARD AXEL 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
1207ZP0101XAnatomic Pathology Physician1194911NY

General Provider Information

NPI Number : 1447612791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD AXEL M.D.
Provider Business Mailing Address
First Line : 701 W 168TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10032-3723
Country : US
Telephone Number : 212-305-6915
Fax Number :
Provider Business Practice Location Address
First Line : 701 W 168TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10032-3723
Country : US
Telephone Number : 212-305-6915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2016
Last Update Date : 03/25/2016

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Directions to “ DR. RICHARD AXEL M.D.” Practice Location

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