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Contact Information

KINGA M RICCOBONO, MD
1001 FRANKLIN AVE
SUITE 106
GARDEN CITY, NY11530-2925
 Phone: 516-240-8700
 Fax: 516-240-8787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KINGA M RICCOBONO · (Female)

NPI # 1063457604
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2006
Last updated 09/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 230434
  • NY Medicaid 02801201
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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