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Individual

BIANCA MARIA RIGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2635 202ND ST, BAYSIDE, NY 11360-2324
(917) 602-9286
Mailing address
2635 202ND ST, BAYSIDE, NY 11360-2324
(917) 602-9286

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
619957051
NY
174400000X
Specialist
Primary
634589051
NY

Other

Enumeration date
11/25/2016
Last updated
11/25/2016
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