Individual
DR. PHILIP F RICOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1404 SWEET HOME ROAD, SUITE #2, AMHERST, NY 14228
(716) 634-0566
(716) 634-8040
Mailing address
1404 SWEET HOME ROAD, SUITE #2, AMHERST, NY 14228
(716) 634-0566
(716) 634-8040
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0090841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020913101
UNIVERA INS
NY
01
—
6109125
IHA INS
NY
Enumeration date
03/05/2007
Last updated
02/03/2009
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