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Timothy J Riccardi, MD

Ophthalmology in Syracuse, NY. Individual provider (NPI-1).

NPI number1982609780
StatusActive
Last updated in NPPESFeb 7, 2008

Details

NPI
1982609780
Entity type
Individual (NPI-1)
Name
Timothy J Riccardi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2005
Last updated
Feb 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology179562NYYes

Practice location

4900 Broad Rd
Ste 3p
Syracuse, NY 13215-2265

Phone 315-492-5910 · Fax 315-492-5950

Mailing address

Po Box 2003
East Syracuse, NY 13057-4503

Phone 315-446-3904 · Fax 315-445-2936

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