person
Jacob M Ricca, MD
Student in an Organized Health Care Education/Training Program in Southampton, New York
NPI 1346945862

Jacob M Ricca is a Student in an Organized Health Care Education/Training Program based in Southampton, NY. Jacob M Ricca practices in Southampton, NY and has the professional credentials of MD. The NPI Number for Jacob M Ricca is 1346945862 and holds a License No. (New York).

The current practice location address for Jacob M Ricca is 240 Meeting House Ln, Southampton, NY and can be reached out via phone at 641-726-0409.

Location: 240 Meeting House Ln, Southampton, NY, 11968-5009
person
Provider Profile Details
NPI Number
1346945862
Provider Name
Jacob M Ricca
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
240 Meeting House Ln, Southampton, NY, 11968-5009
Phone Number
641-726-0409
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Meeting House Ln
City
State
Zip
11968-5009
Phone Number
641-726-0409
Fax Number
person
Provider Business Mailing Address Details
Address
240 Meeting House Ln
City
State
Zip
11968-5009
Phone Number
641-726-0409
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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