Doctor Name: | DR. RICHARD DAVID PRIMASON |
NPI Number: | 1295958882 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 007639 |
Business Practice Address: | 596 Warburton Ave Hastings On Hudson, NY - 107061504 |
Business Phone Number: | 9144782146 |
Business Fax Number: | |
Mailing Address: | 596 Warburton Ave, HASTINGS ON HUDSON |
State: | NY |
Postal Code: | 107061504 |
Phone Number: | 9144782146 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 007639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |