National Provider Identifier

Richard Pretorius, MD, MPH

Richard Pretorius, MD, MPH is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Irving, NY and a listed phone number of (716) 951-7273.

NPI 1013900505Irving, NYFamily Medicine Physician

Profile Overview

NPI
1013900505
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
August 30, 2005
Last Updated
November 18, 2015

Practice Location

  • 845 Routes 5 & 20
  • Irving, NY 14081-9706

Phone: (716) 951-7273

Specialties

  • Family Medicine Physician (207Q00000X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1013900505
Entity Type
Individual
Last Name
Pretorius
First Name
Richard
Credential
MD, MPH
Mailing Street Address
845 Routes 5 & 20
Mailing City
Irving
Mailing State
NY
Mailing ZIP Code
14081-9706
Mailing Country
US
Mailing Phone
(716) 951-7273
Practice Street Address
845 Routes 5 & 20
Practice City
Irving
Practice State
NY
Practice ZIP Code
14081-9706
Practice Country
US
Practice Phone
(716) 951-7273
Enumeration Date
August 30, 2005
Last Updated
November 18, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Emergency Medicine Physician (207P00000X)
Other Identifiers
02560378 (NY), 3120563 (OH), 7100319390 (KY)