RIVERFRONT MEDICAL (NPI# 1780922302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780922302 |
Entity Type | Organization |
Organization Name | RIVERFRONT MEDICAL |
Practice Address |
105 Woodberry Ln Fayetteville NY 13066-1745 |
Mailing Address |
1020 7th North St Suite 220 Liverpool NY 13088-6192 |
Practice Telephone | 3154459655 |
Mailing Telephone | 3154513906 |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |
Authorized Official Name | PETER CLARK (PRESIDENT) |
Authorized Official Telephone | 3154513906 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
163502-1 | NY | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RIVERFRONT MEDICAL HOLDINGS, LLC | 1173 S 250 W Ste 301, St George, UT 84770-6753 |
Street Address |
105 WOODBERRY LN |
City | FAYETTEVILLE |
State | NY |
Zip Code | 13066-1745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
Find all providers in zip 13066 |
Taxonomy Code | 261QC1800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Corporate Health |
Definition to come... |
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1710252762 | Health Tower Physical Therapy P.c | Clinic/Center | 8402 4th Ave, Apt # C8, Brooklyn, NY 11209-4657 | 2012-03-08 |
1407177272 | Take Care Health | Clinic/Center | 1585 Broadway, 8th Floor, New York, NY 10036-8200 | 2010-06-16 |
1528395688 | Kazu Chiropractic PC | Clinic/Center | 80-27 135 Str, Jamaica, NY 11435-1029 | 2009-11-11 |
1780834739 | Harold Fritz Kerolle, Md, PC | Clinic/Center | 1050 Ocean Ave Ste A1, Brooklyn, NY 11226-9205 | 2008-09-26 |
1770759680 | Small Business Strategy Inc | Clinic/Center | 119 W 23rd Street, Suite 1009, New York, NY 10011 | 2008-05-01 |
1245400753 | Angels's Touch Medical Health Care P.C. | Clinic/Center | 63 Ottavio Promenade, Staten Island, NY 10307-2410 | 2008-03-11 |
1093983892 | Charles Balducci,md.pc | Clinic/Center | 38-25 Parsons Blvd., Flushing, NY 11354-5837 | 2008-02-14 |
1871101576 | Vista Eyecare, LLC | Clinic/Center | 3018 East Ave, Central Square, NY 13036-2713 | 2020-07-20 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 13066 |
Please comment or provide details below to improve the information on RIVERFRONT MEDICAL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.