# JEFFREY R. RIDHA M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639442742
- **Authorized official:** DR. JEFFREY R RIDHA M.D. (OWNER)
- **Authorized official phone:** (518) 306-5466

## Contact information

- **Practice address:** 72 RAILROAD PL, SARATOGA SPRINGS, NY 12866-3008
- **Practice address phone:** (518) 306-5466
- **Practice address fax:** (518) 306-5470
- **Mailing address:** 72 RAILROAD PL, SARATOGA SPRINGS, NY 12866-3008
- **Mailing address phone:** (518) 306-5466
- **Mailing address fax:** (518) 306-5470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 229760 | NY | Yes |

## Other

- **Enumeration date:** 02/21/2012
- **Last updated:** 12/09/2015