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Organization
SALLYANN RICCIARDI, LCSW-R,PC
Active
Organization
SALLYANN RICCIARDI, LCSW-R,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLYANN RICCIARDI LCSW (OWNER)
(516) 674-8588
Entity
Organization
Contact information
Practice address
27 THE PLAZA, SUITE B, LOCUST VALLEY, NY 11560
(516) 674-8588
(516) 671-2580
Mailing address
27 THE PLAZA, SUITE B, LOCUST VALLEY, NY 11560
(516) 674-8588
(516) 671-2580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI1306985973
MEDICARE
NY
01
—
NT1401
MEDICARE
NY
Enumeration date
10/12/2016
Last updated
10/12/2016
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