Individual
MS. MARJORIE JEANNE RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
Mailing address
2791 RICHMOND AVE, SUITE201, STATEN ISLAND, NY 10314-5882
(718) 816-6440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
246914
NY
207W00000X
Ophthalmology Physician
25MA08741700
NJ
Other
Enumeration date
07/03/2007
Last updated
04/03/2012
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