Individual
DR. LOUIS RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4787 HYLAN BLVD, STATEN ISLAND, NY 10312-6360
(718) 948-7408
Mailing address
4787 HYLAN BLVD, STATEN ISLAND, NY 10312-6360
(718) 948-7408
(718) 948-1290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041138
NY
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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