Individual provider · Type 1 NPI

Joseph Michael Ricciardi

Mental Health Counselor · Coram, NY

NPI number 1124453972 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Fax (631) 920-8501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005826 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1124453972

Joseph Michael Ricciardi's National Provider Identifier is 1124453972, issued on Sep 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coram, NY. The record was last updated on Nov 10, 2014.