Individual provider · Type 1 NPI

Shannan Marie Maxey-Ricoy, RPA-C

Medical Physician Assistant · Amityville, NY

NPI number 1700828340 Active

Practice location

221 Broadway, Suite 207
Amityville, NY 11701-2780

Call (631) 598-0009 Map

Fax (631) 598-0099

Mailing address

99 Kentucky St
Long Beach, NY 11561-1229

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X009533 (NY)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1700828340

Shannan Marie Maxey-Ricoy, RPA-C's National Provider Identifier is 1700828340, issued on Jun 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Amityville, NY. The record was last updated on Jul 13, 2026.