RICHARD J RICCA, M.D., F.A.C.S., Specialist SOUTHAMPTON, NY

Contact Information

RICHARD J RICCA, M.D., F.A.C.S.

335A MEETING HOUSE LN
SOUTHAMPTON, NY 11968-5051

Phone: 631-287-6570
Fax: 631-287-6578
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for RICHARD J RICCA · (Male)

NPI Number	`1003887878`
Status	Active
Credentials	M.D., F.A.C.S.
Entity	Individual
Enumeration date	01/30/2006
Last updated	04/17/2013 - About 13 years ago
Sole proprietor ¹	Yes
Identifiers	NY License # 143299 NY Medicaid 00929039
Hospital affiliation(s)	UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care) HEALTH SCIENCES CENTER SUNY STONY BROOK, NY 11794

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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