Individual
JANE RICCOBONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 CENTRE ST PH 120, NEW YORK, NY 10013-4559
(888) 731-8994
Mailing address
139 CENTRE ST PH 120, NEW YORK, NY 10013-4559
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95010708
CA
Other
Enumeration date
02/12/2019
Last updated
11/08/2024
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