Individual provider · Type 1 NPI

William Mark Richardson Jr., MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1285494732 Active

Practice location

450 Clarkson Avenue, Department Of Dermatology
Brooklyn, NY 11203-2012

Mailing address

55 N 5th St
Brooklyn, NY 11249-3298

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285494732

William Mark Richardson Jr., MD's National Provider Identifier is 1285494732, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 10, 2025.