Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAINIER JUDE RICANOR, MD
ActiveVascular Surgery · WEST NYACK, NY
Registration Details
- NPI Number
- 1598051484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2011 (14.835529269122 yrs)
- Last Updated
- Aug 9, 2024
- License
-
285337 (NY)
Practice Information
- Address
-
2 CENTEROCK RDWEST NYACK, NY, 109942215Browse NY providers · Browse ZIP 10994
- Phone
- 8457036999
- Fax
- 8457036297
- Primary Specialty
-
Vascular Surgery
208VP0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.