Individual
DR. JEANINE MARIE RICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1980 CROMPOND RD, CORTLANDT MANOR, NY 10567-4144
(914) 788-4635
Mailing address
382 WASHINGTON ST, GENEVA, NY 14456-2739
(845) 721-5987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21493
NH
207V00000X
Obstetrics & Gynecology Physician
Primary
276046-1
NY
207V00000X
Obstetrics & Gynecology Physician
C0705
KY
207V00000X
Obstetrics & Gynecology Physician
DO2022-0082
NM
207V00000X
Obstetrics & Gynecology Physician
DO3224
ME
207V00000X
Obstetrics & Gynecology Physician
DOS-2252
HI
207V00000X
Obstetrics & Gynecology Physician
LT20095
ME
207V00000X
Obstetrics & Gynecology Physician
MED-PHYS-COM-LIC-992
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02960350
—
NY
Enumeration date
06/14/2006
Last updated
05/25/2023
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