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General NPI Number Information
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NPI Number | 1255303533
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Entity Type | Individual
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Provider Name | PATRICK J. RICCARDI MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 208 TOWNSHIP BLVD
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City | CAMILLUS
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State | NY
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Zip | 13031
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Country | US
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Telephone | 315-551-6000
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Fax | 315-434-5300
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Provider Business Mailing Address
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Address Line | 251 SALINA MEADOWS PKWY SUITE 100
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City | SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-464-2014
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Fax | 315-464-2010
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 1449651
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License Number State | NY
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