person
Mr. Mark A Ricketts, PMHNP
Psychiatric/Mental Health Nurse Practitioner in West Babylon, New York
NPI 1801132782

Mark A Ricketts is a Psychiatric/Mental Health Nurse Practitioner based in West Babylon, NY and is specialized in Psychiatric/Mental Health. Mark A Ricketts practices in West Babylon, NY and has the professional credentials of PMHNP. The NPI Number for Mark A Ricketts is 1801132782 and holds a License No. F404433 (New York).

The current practice location address for Mark A Ricketts is 1565 Herzel Blvd, West Babylon, NY and can be reached out via phone at 646-649-6840.

Location: 1565 Herzel Blvd, West Babylon, NY, 11704-4234
person
Provider Profile Details
NPI Number
1801132782
Provider Name
Mark A Ricketts
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1565 Herzel Blvd, West Babylon, NY, 11704-4234
Phone Number
646-649-6840
Fax Number
Provider Enumeration Date
12/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1565 Herzel Blvd
City
State
Zip
11704-4234
Phone Number
646-649-6840
Fax Number
person
Provider Business Mailing Address Details
Address
1565 Herzel Blvd
City
State
Zip
11704-4234
Phone Number
646-649-6840
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F404433 (New York)
Definition
Definition to come...
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