MARK A RICKETTS

WEST BABYLON, NY
NPI1801132782
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F404433)
Enumeration Date2012-12-20
Last Update Date2022-09-28
Business Address
Mr. MARK A RICKETTS PMHNP
1565 HERZEL BLVD
WEST BABYLON, NY 11704-4234
Phone number: 646-649-6840
Mailing Address
Mr. MARK A RICKETTS PMHNP
1565 HERZEL BLVD
WEST BABYLON, NY 11704-4234
Phone number: 646-649-6840
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