SearchNew York163WS0200X

Laurice Ricketts

NPI 1700197050 · on the registry since 2010 · sole proprietor

Practice

Address
1658 E 56th St
Brooklyn, NY 11234
Phone
(347) 461-7129

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-07-01

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