Individual
RICCARDO DAVID ST.HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3211 WICKHAM AVE, BRONX, NY 10469-3122
(914) 610-5062
Mailing address
3211 WICKHAM AVE, BRONX, NY 10469-3122
(914) 610-5062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003916
NY
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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