Individual
JOHANNE PAYLADO RICARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3227 E TREMONT AVE, BRONX, NY 10461-5707
(718) 904-9400
Mailing address
4735 196TH ST, AUBURNDALE, NY 11358-3934
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
041307
NY
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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