Individual
JEFFREY R RIDHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 RAILROAD PL, SARATOGA SPRINGS, NY 12866-3008
(518) 306-5466
(518) 306-5470
Mailing address
72 RAILROAD PL, SARATOGA SPRINGS, NY 12866-3008
(518) 306-5466
(518) 306-5470
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
229760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400072790
MEDICARE PTAN
NY
Enumeration date
11/27/2007
Last updated
12/09/2015
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