Individual provider · Type 1 NPI

Carl Richardson

Specialist · Springfield Gardens, NY

NPI number 1114570983 Active

Practice location

14556 229th St
Springfield Gardens, NY 11413-3923

Call (800) 313-7591 Map

Fax (718) 949-6315

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114570983

Carl Richardson's National Provider Identifier is 1114570983, issued on Jul 22, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Springfield Gardens, NY. The record was last updated on Jul 22, 2019.