SearchNew York163WM0705X

Stacy Ricca

NPI 1255129391 · on the registry since 2025 · sole proprietor

Practice

Address
20 Walnut Ave
Patchogue, NY 11772
Phone
(516) 702-8852

Registry record

Primary taxonomy
163WM0705X
163WM0705X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York