Individual
CHARLES ANTHONY RICCIARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE 1800, HAWTHORNE, NY 10532-2140
(914) 347-5822
Mailing address
19 BRADHURST AVE, STE 1800, HAWTHORNE, NY 10532-2140
(914) 347-5822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
113743
NY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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