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NPI Code Detail

MEDICARE: JESSICA RICHICHI

MEDICARE:   JESSICA  RICHICHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse796098NY

General Provider Information

NPI Number : 1245197409
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RICHICHI
Provider Business Mailing Address
First Line : 75 CEDARHURST ST
Second Line :
City : ISLIP TERRACE
State : NY
Zip : 11752-1007
Country : US
Telephone Number : 631-566-4302
Fax Number :
Provider Business Practice Location Address
First Line : 75 CEDARHURST ST
Second Line :
City : ISLIP TERRACE
State : NY
Zip : 11752-1007
Country : US
Telephone Number : 631-566-4302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ JESSICA RICHICHI ” Practice Location

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