Provider Demographics
NPI:1356663728
Name:RICCARDI, MARIA ANGELA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ANGELA
Last Name:RICCARDI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 VALERIE DR
Mailing Address - Street 2:APT 1
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1127
Mailing Address - Country:US
Mailing Address - Phone:914-375-1870
Mailing Address - Fax:
Practice Address - Street 1:39 VALERIE DR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1127
Practice Address - Country:US
Practice Address - Phone:914-375-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist