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NPI Code Detail

MEDICARE: MS. BRIDGETTE RICCARDI PT, DPT

MEDICARE:  MS. BRIDGETTE  RICCARDI  PT, DPT
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
1225100000XPhysical Therapist033024NY

General Provider Information

NPI Number : 1508172834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIDGETTE RICCARDI PT, DPT
Provider Business Mailing Address
First Line : 251 E 77TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10075-2045
Country : US
Telephone Number : 212-288-1450
Fax Number : 212-288-3477
Provider Business Practice Location Address
First Line : 251 E 77TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10075-2045
Country : US
Telephone Number : 212-288-1450
Fax Number : 212-288-3477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2010
Last Update Date : 08/24/2010

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Directions to “ MS. BRIDGETTE RICCARDI PT, DPT” Practice Location

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