Individual
ALEXA MORGAN RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023974-01
NY
Other
Enumeration date
01/07/2020
Last updated
03/19/2020
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