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Individual

ANNA RICKARDS I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, CDN, IBCLC

Contact information

Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(646) 938-1243

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008745
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00695941
NY
Enumeration date
10/14/2016
Last updated
10/01/2025
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