Individual
NINA J RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
256 MASON AVE # C, STATEN ISLAND, NY 10305-3408
(718) 226-6606
Mailing address
100 JAY ST APT 18H, BROOKLYN, NY 11201-1574
(716) 713-2045
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
271184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03798345
—
NY
Enumeration date
06/14/2010
Last updated
06/05/2019
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