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Audrey Ricketts
NPI 1871864355 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6295 Broadway Apt B5
Bronx, NY 10471 - Phone
- (718) 601-7386
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-16
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