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NPI Code Detail

MEDICARE: DR. RICHARD W KING M.D.

MEDICARE: DR. RICHARD W KING 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
1207Q00000XFamily Medicine Physician130834NY

General Provider Information

NPI Number : 1780775338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD W KING M.D.
Provider Business Mailing Address
First Line : 206 ROUTE 303
Second Line :
City : VALLEY COTTAGE
State : NY
Zip : 10989-2019
Country : US
Telephone Number : 845-268-5124
Fax Number : 845-268-6387
Provider Business Practice Location Address
First Line : 206 ROUTE 303
Second Line :
City : VALLEY COTTAGE
State : NY
Zip : 10989-2019
Country : US
Telephone Number : 845-268-5124
Fax Number : 845-268-6387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD W KING M.D.” Practice Location

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