Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 287996 | NY |
NPI | 1093004640 |
---|---|
Provider Name | Dr. Joseph Andrew Ricci |
First Address | Bronx, NY 10461 |
Second Address | Bronx, NY 10461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 20/02/2020 |