Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 003543-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 003543-1 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 003543-1 | NY |
NPI | 1033362959 |
---|---|
Provider Name | Ms. Monica Bell Riccardi |
First Address | Albany, NY 12205-5504 |
Second Address | Albany, NY 12205-5504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2008 |
Last Update Date | 23/10/2008 |