Individual
MRS. KATHLEEN MARY RICCIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 EAST 70TH STREET, NEW YORK, NY 10021
(212) 746-6700
Mailing address
2618 HYACINTH ST, WESTBURY, NY 11590-5608
(516) 338-2032
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006873-1
NY
Other
Enumeration date
12/26/2006
Last updated
01/24/2011
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