Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 016278 | NY |
Y | 103TC0700X | Clinical Psychologist | 016278 | NY |
NPI | 1003969932 |
---|---|
Provider Name | Dr. Ricardo Rieppi |
First Address | New York, NY 10019-1820 |
Second Address | New York, NY 10019-1820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 30/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009203093 | AETNA (01) | NY |
0009203093 | AETNA STUDENT HEALTH PIN (01) | NY |
P3593357 | OXFORD HEALTH INSURANCE PROVIDER ID (01) | NY |