Individual
BRIAN J RICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 N STATION PLZ, GREAT NECK, NY 11021-5011
(516) 482-2650
Mailing address
3 CHARLOTTE PL, SAYVILLE, NY 11782-1700
(631) 244-9506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009-090-1
NY
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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