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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROSARIO ANTHONY RICCABENE

Active Sole Proprietor

MR. ROSARIO ANTHONY RICCABENE is a Sports Medicine (PM&R) healthcare provider located in BOHEMIA, New York. NPI 1659960573 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · BOHEMIA, NY

Registration Details

NPI Number
1659960573
Provider Type
Individual
Gender
Male
NPI Issued
Jan 14, 2021 (5.6283719392475 yrs)
Last Updated
Jan 14, 2021
License
003427 (NY)
Sole Proprietor
Yes

Practice Information

Address
3480 VETERANS MEMORIAL HWY
BOHEMIA, NY, 117161068
Browse NY providers · Browse ZIP 11716
Phone
6312890531
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
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.