| Doctor Name: | MS. MARIE S RICHARD |
| NPI Number: | 1528373628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 544264 |
| Business Practice Address: | 8235 Turnstone Dr Manlius, NY - 131042138 |
| Business Phone Number: | 3152637442 |
| Business Fax Number: | |
| Mailing Address: | 7863 Eisenhower Blvd, BRIDGEPORT |
| State: | NY |
| Postal Code: | 130309405 |
| Phone Number: | 3153176684 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2010 |
| NPI Last Update Date: | 08/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0800X |
| License Number: | 544264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neuroscience |
| Taxonomy Definition: | |