Doctor Name: | DR. JOHN JOSEPH RICCI |
NPI Number: | 1821082942 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 047811 |
Business Practice Address: | 2036 New York Ave Huntington Station, NY - 117463234 |
Business Phone Number: | 6314235988 |
Business Fax Number: | 6314237795 |
Mailing Address: | 2036 New York Ave, HUNTINGTON STATION |
State: | NY |
Postal Code: | 117463234 |
Phone Number: | 6314235988 |
Fax Number: | 6314237795 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 047811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |