Provider Demographics
NPI:1265554158
Name:BEHMOIRAS, RICHARD FRANKLIN (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FRANKLIN
Last Name:BEHMOIRAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-1906
Mailing Address - Country:US
Mailing Address - Phone:516-628-1014
Mailing Address - Fax:
Practice Address - Street 1:26 SOUTH RD
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-1906
Practice Address - Country:US
Practice Address - Phone:516-628-1014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO24032-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst