Individual
TATIANA RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1055 STEWART AVE, BETHPAGE, NY 11714-3596
(516) 938-0100
(516) 938-0120
Mailing address
55 WATER ST, 2ND FLOOR, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
267740
NY
Other
Enumeration date
02/27/2013
Last updated
02/26/2021
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