Individual
MR. BENJAMIN FOX RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(201) 669-8216
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(201) 669-8216
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
260357
NY
207XX0801X
Orthopaedic Trauma Physician
260357
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2009
Last updated
06/29/2023
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