| Doctor Name: | MR. ROBERT C RICHMAN |
| NPI Number: | 1013997626 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R-PAC |
| License Number: | 011029-1 |
| Business Practice Address: | 5496 East Taft Road North Syracuse, NY - 13212 |
| Business Phone Number: | 3155526700 |
| Business Fax Number: | 3155526701 |
| Mailing Address: | Po Box 510, SYRACUSE |
| State: | NY |
| Postal Code: | 132140510 |
| Phone Number: | 3157033484 |
| Fax Number: | 3157033487 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 01/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 011029-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |