Individual
DR. TRACEY RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
272 LINCOLN PL, SUITE D-3, BROOKLYN, NY 11238-5837
(718) 857-0402
Mailing address
5482 WILSHIRE BLVD # 1630, LOS ANGELES, CA 90036-4218
(917) 310-1644
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
203203
NY
Other
Enumeration date
10/25/2006
Last updated
10/24/2012
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