Individual
DR. CHARLES RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, LAC
Contact information
Practice address
6109 39TH AVE APT L2, WOODSIDE, NY 11377-2659
(347) 592-8225
Mailing address
6109 39TH AVE APT L2, WOODSIDE, NY 11377-2659
(347) 592-8225
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006416
NY
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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