Riccardi, Jay Scott

Riccardi, Jay Scott is an individual health care provider with primary practice located at 425 Brighton St #303, Bethlehem PA 18015-1273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Riccardi, Jay Scott can be contacted via phone (610) 868-1100.

Contact Information

Primary practice address
425 Brighton St #303 Bethlehem PA 18015-1273
Fax: (610) 868-1111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD428350 Pennsylvania

Profile Details

NPI number 1770551616
LBN Legal business name Riccardi, Jay Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770551616 NPPES
New York MEDICAID 01336507
New York MEDICAID 001292349

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