Individual
MS. ROBIN A RALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
329 CONWAY ST, GREENFIELD HEALTH CENTER, GREENFIELD, MA 01301-1526
(413) 774-6301
(413) 774-6528
Mailing address
PO BOX 8019, SPRINGFIELD, MA 01102-8000
(866) 431-4077
(413) 774-7448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351041
—
MA
01
—
100668
CONNECTICARE
MA
01
—
1295087
FALLON COMMUNITY HEALTH PLAN
MA
01
—
500016130
RAILROAD MEDICARE
MA
01
—
NP1663
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/12/2006
Last updated
06/18/2008
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