Individual
RICARDO A ZALDIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
(631) 665-5008
Mailing address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
(631) 665-5008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006156-1
NY
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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