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Individual

DR. JESSICA LYNN RICCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2020
Mailing address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2020

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
288469
NY
207YX0602X
Otolaryngic Allergy Physician
288469
NY

Other

Enumeration date
04/26/2012
Last updated
10/03/2019
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