SHANNAN MARIE MAXEY-RICOY

AMITYVILLE, NY
NPI1700828340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  009533)
Enumeration Date2006-06-11
Last Update Date2007-07-08
Business Address
Mrs. SHANNAN MARIE MAXEY-RICOY RPA-C
221 BROADWAY SUITE 207
AMITYVILLE, NY 11701-2780
Phone number: 631-598-0009
Mailing Address
Mrs. SHANNAN MARIE MAXEY-RICOY RPA-C
99 KENTUCKY ST
LONG BEACH, NY 11561-1229
Phone number: 516-902-8389