Riccio, Lisa L.

Riccio, Lisa L. is an individual health care provider with primary practice located at 325 Park Ave , Huntington NY 11743-2779. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Riccio, Lisa L. can be contacted via phone (631) 351-3722.

Contact Information

Primary practice address
325 Park Ave Huntington NY 11743-2779
Phone: (631) 351-3722
Fax: (631) 385-1046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005238-1 New York

Profile Details

NPI number 1265545313
LBN Legal business name Riccio, Lisa L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265545313 NPPES
New York Other P1072042 OXFORD
New York Other 6201199 OXFORD
New York Other 2C5927 OXFORD
New York Other PA7731 OXFORD

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