Basic Information
Provider Information
NPI: 1417485293
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RICHMAN
FirstName: ADAM
MiddleName: HARRINGTON
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 KINGS HWY S
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146175504
CountryCode: US
TelephoneNumber: 8559221900
FaxNumber:  
Practice Location
Address1: 1425 PORTLAND AVE
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146213095
CountryCode: US
TelephoneNumber: 5859224031
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2017
LastUpdateDate: 09/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X317684NYY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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