Dr Domenic Riccobono, DDS is a
Dentist - General Practice based in Chatham, New York. Dr Domenic Riccobono is licensed to practice in New York (license number 045941) and his current practice location is
42 Kinderhook St, Chatham, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 392-5231.
NPI number for Dr Domenic Riccobono is 1578677175 and his current mailing address is 42 Kinderhook St, Chatham, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578677175.
Healthcare Provider's Profile
| Full Name | Dr Domenic Riccobono |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 42 Kinderhook St, Chatham, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578677175
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Domenic Riccobono such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578677175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 045941 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Domenic Riccobono is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Domenic Riccobono, DDS
42 Kinderhook St,
Chatham, NY 12037-1207
Ph: (518) 392-5231 | Dr Domenic Riccobono, DDS
42 Kinderhook St,
Chatham, NY 12037-1207
Ph: (518) 392-5231 |
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