Individual
CHARIS-ANN RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
89-44 164TH ST, JAMAICA, NY 11432-6103
(718) 523-2123
(718) 523-5833
Mailing address
60 MADISON AVE, NEW YORK, NY 10010-1600
(212) 545-2400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC5661
FL
152W00000X
Optometrist
Primary
TUV009750-01
NY
Other
Enumeration date
08/09/2019
Last updated
01/02/2024
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