Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TITO P RICHARDSON
Active Sole ProprietorTITO P RICHARDSON is a Van Provider healthcare provider located in QUEENS VILLAGE, New York. NPI 1952950768 is currently active in the NPPES registry. Verify at CMS.
Van Provider · QUEENS VILLAGE, NY
Registration Details
- NPI Number
- 1952950768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2019 (6.9802628913516 yrs)
- Last Updated
- Sep 5, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
8684 208TH ST APT 1BQUEENS VILLAGE, NY, 114271651Browse NY providers · Browse ZIP 11427
- Phone
- 7023553791
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.