Richard F Endres, M.D.
Individual provider Active NPI Pediatrics Physician · Sodus, NY
NPI 1295746071 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295746071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 126286 (NY)
- Practice address
- 6692 Middle Rd
Sodus, NY 14551-9602 - Phone
- (315) 483-3214
- Fax
- (315) 483-3248
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126286 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 126286 | NY | Yes |
Addresses
Primary practice location
6692 Middle Rd
Sodus, NY 14551-9602
Mailing address
6692 Middle Rd
Sodus, NY 14551-9602
Phone (315) 483-3214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00450679 | Medicaid | NY |
Other providers in Sodus, NY
- Sierra Demarree
- Kristy Dirlam
- Dodge Delancey Chiropractic
- Michelle Gaebel Dodge
- Manal Elesily
- Shanton L Faniel
- Finger Lakes Community Health
- Helen Anne Furber
- John Lory Ghertner
- Andrew Gialanella
All providers in Sodus, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.