Individual provider · Type 1 NPI

Mary Riccobono

Specialist · Staten Island, NY

NPI number 1699037168 Active

Practice location

329 Norway Ave
Staten Island, NY 10305-3524

Call (718) 987-9400 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X491160111 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699037168

Mary Riccobono's National Provider Identifier is 1699037168, issued on Jun 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 11, 2012.