RICKEY LOGAN

NEW YORK, NY
NPI1417309824
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: NY  382652)
Enumeration Date2016-07-08
Last Update Date2016-07-08
Business Address
Mr. RICKEY LOGAN PNP
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 513-706-8109
Mailing Address
Mr. RICKEY LOGAN PNP
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: