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1124453972
JOSEPH MICHAEL RICCIARDI
CORAM, NY
NPI
1124453972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 005826)
Enumeration Date
2013-09-12
Last Update Date
2014-11-10
Business Address
JOSEPH MICHAEL RICCIARDI
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500
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Mailing Address
JOSEPH MICHAEL RICCIARDI
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500
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