Individual
RICARDO CERQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
(718) 817-7951
(718) 817-7078
Mailing address
96 CHARLES ST, MINEOLA, NY 11501-2018
(516) 739-1040
(516) 739-1040
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000078
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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