Riccardi, Rena Marie

Riccardi, Rena Marie is an sole proprietor health care provider with primary practice located at 255 Lafayette Ave , Suffern NY 10901-4869. She recently has 8 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Riccardi, Rena Marie can be contacted via phone (914) 772-1005.

Contact Information

Primary practice address
255 Lafayette Ave Suffern NY 10901-4869
Phone: (914) 772-1005
Fax: (845) 547-3357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 724462
Other Service Providers / Health Educator 174H00000X
Allopathic & Osteopathic Physicians / Obesity Medicine 2080B0002X 724462 New York
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 217003387 New York
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 724462

Profile Details

NPI number 1962988543
LBN Legal business name Riccardi, Rena Marie
Credentials MS, RD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2018
Last updated Jul 17th, 2018 - about 6 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 1962988543 NPPES
Other 724462 CDR
Other 21700387 CDR

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