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Individual

MRS. TINA RIGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-C, PMHNP-BC

Contact information

Practice address
1227 MAIN ST STE 202, PORT JEFFERSON, NY 11777-2227
(631) 833-8109
Mailing address
3771 NESCONSET HWY STE 208B, SOUTH SETAUKET, NY 11720-1154
(631) 662-6655
(631) 689-3993

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405096-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F405096-01
PSYCHIATRY
NY
Enumeration date
07/03/2014
Last updated
07/22/2024
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