Individual
MS. BASILIA RICCIARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
536 MINEOLA AVE, CARLE PLACE, NY 11514-1716
(516) 671-9800
Mailing address
536 MINEOLA AVE, CARLE PLACE, NY 11514-1716
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002955
NY
Other
Enumeration date
10/27/2010
Last updated
04/28/2021
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