Individual
TIMOTHY J RICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 BROAD RD, STE 3P, SYRACUSE, NY 13215-2265
(315) 492-5910
(315) 492-5950
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
179562
NY
Other
Enumeration date
06/17/2005
Last updated
02/07/2008
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