Individual
ANDREW J RIBAUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA C
Contact information
Practice address
54 WOODVILLE RD, SHOREHAM, NY 11786-1331
(631) 929-1256
(631) 929-8313
Mailing address
185 OLD COUNTRY RD STE 2, RIVERHEAD, NY 11901-2121
(631) 298-4479
(631) 591-3047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2005
Last updated
07/21/2022
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