Individual
MARY RIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7035 113TH ST, FOREST HILLS, NY 11375-4651
(718) 990-4648
Mailing address
PO BOX 1471, BUFFALO, NY 14240-1471
(800) 795-5820
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006574
NY
Other
Enumeration date
06/15/2006
Last updated
05/06/2008
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