Individual
BRIDGETTE ANNMARIE SMITH-RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11506 ROCKAWAY BEACH BLVD, FAR ROCKAWAY, NY 11694-2346
(917) 254-0973
Mailing address
15014 115TH AVE, JAMAICA, NY 11434-1006
(192) 923-1961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
$$$$$$$$$
NY
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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