MR. Mark A Ricketts, PMHNP is a psychiatric/mental health nurse practitioner in West Babylon, NY with 2 years of experience. MR. Mark A Ricketts, PMHNP NPI is 1801132782. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1565 HERZEL BLVD
WEST BABYLON, NY
ZIP 11704-234
Phone: (646) 649-6840
The NPI 1801132782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/20/2012 and was last updated on 9/28/2022.