MEDICARE: CHANA RICHTER

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	171M00000X	Case Manager/Care Coordinator	206789031	NY
2	174400000X	Specialist

General Provider Information

NPI Number	:	1770848376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANA RICHTER

Provider Business Mailing Address
First Line	:	14746 71ST AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14746 71ST AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2009
Country	:	US
Telephone Number	:	347-451-6510
Fax Number	:

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

Provider Enumeration Date	:	07/10/2012
Last Update Date	:	02/28/2024

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Directions to “ CHANA RICHTER ” Practice Location

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