Ricci, John L

Ricci, John L is an individual health care provider with primary practice located at 600 Northern Blvd Suite 111, Great Neck NY 11021-5200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ricci, John L can be contacted via phone (516) 487-9454.

Contact Information

Primary practice address
600 Northern Blvd Suite 111 Great Neck NY 11021-5200
Fax: (516) 487-2745
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 170786 New York

Profile Details

NPI number 1679543359
LBN Legal business name Ricci, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 3rd, 2016 - about 8 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 1679543359 NPPES
New York MEDICAID 01180327

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