Individual
RICCARDO RICCIARDI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21008 NORTHERN BLVD, SUITE 4, BAYSIDE, NY 11361-3211
(718) 539-5100
(718) 539-2706
Mailing address
532 BROADHOLLOW RD, SUITE 142, MELVILLE, NY 11747-3672
(516) 931-0041
(516) 822-1686
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
186804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01518381
—
NY
Enumeration date
06/21/2006
Last updated
01/27/2015
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