Doctor Name: | DR. JAMES E RICCELLI |
NPI Number: | 1760569644 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DM |
License Number: | 1541 |
Business Practice Address: | 5100 W Taft Rd Liverpool, NY - 130883807 |
Business Phone Number: | 3154522200 |
Business Fax Number: | 3154522204 |
Mailing Address: | 4560 Becker Rd, BREWERTON |
State: | NY |
Postal Code: | 130298700 |
Phone Number: | 3156763169 |
Fax Number: | 3156762574 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 1541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |