Basic Information
Provider Information
NPI: 1003803735
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HANDLER
FirstName: RICHARD
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2233 STATE ROUTE 86
Address2: RHEUMATOLOGY SUITE 2
City: SARANAC LAKE
State: NY
PostalCode: 129835644
CountryCode: US
TelephoneNumber: 5188942491
FaxNumber: 5188972605
Practice Location
Address1: 2233 STATE ROUTE 86
Address2: RHEUMATOLOGY SUITE 2
City: SARANAC LAKE
State: NY
PostalCode: 129835644
CountryCode: US
TelephoneNumber: 5188972491
FaxNumber: 5188972605
Other Information
ProviderEnumerationDate: 09/27/2005
LastUpdateDate: 01/28/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X116300NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
11012055301NYRAILROAD MEDICAREOTHER
0038517105NY MEDICAID
AH571675901 DEAOTHER


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