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NPI Code Detail

MEDICARE: RICHARD DO PA-C

MEDICARE: RICHARD DO PA-C
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
1363A00000XPhysician AssistantNY

General Provider Information

NPI Number : 1730038910
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD DO PA-C
Provider Business Mailing Address
First Line : 15036 58TH AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5645 MAIN ST
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5045
Country : US
Telephone Number : 718-670-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ RICHARD DO PA-C” Practice Location

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