Riddick, Linda Mary

Riddick, Linda Mary is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Riddick, Linda Mary can be contacted via phone (518) 262-5723.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Fax: (518) 262-4974
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 164271-1 New York

Profile Details

NPI number 1871588764
LBN Legal business name Riddick, Linda Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Nov 7th, 2012 - about 12 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 1871588764 NPPES
New York MEDICAID 01513648

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