MEDICARE: RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	207153	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00102478	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2043796	OTHER	NY	UNITED HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2016541007	OTHER	NY	CIGNA HEALTHCARE
5	P2706586	OTHER	NY	OXFORD HEALTHCARE
6	068AR1	OTHER	NY	EMPIRE BLUE CROSS BLUE S
7	4C7908	OTHER	NY	HEALTHNET NORTHEAST
8	LL7153	OTHER	NY	ATLANTIS HEALTHCARE
9	207153	OTHER	NY	HIP OF GREATER NY
10	2594234	OTHER	NY	GHI
11	5227722	OTHER	NY	AETNA

General Provider Information

NPI Number	:	1356429740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC

Provider Business Mailing Address
First Line	:	5625 INDEPENDENCE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1230
Country	:	US
Telephone Number	:	914-309-5801
Fax Number	:

Provider Business Practice Location Address
First Line	:	3533 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1829
Country	:	US
Telephone Number	:	718-432-5500
Fax Number	:	718-432-5230

Authorized Official
Title or Position	:	CEO
Name	:	DR. LILIYA LOTSVIN
Credential	:	M.D.
Telephone Number	:	718-543-6404

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/16/2021

Similar Medicare Providers

1669136289 — PENNY EVE STEINBERG AUD
Practice Location Address:

3533 RIVERDALE AVE
BRONX, NY
10463-1829

Practice Phone: 516-880-4286
Practice Fax:

1083467419 — JMRN CONSULTANT LLC
Practice Location Address:

3533 RIVERDALE AVE
BRONX, NY
10463-1829

Practice Phone: 917-589-7149
Practice Fax: 914-219-0955

1952451726 — MS. CECILE ELAINE HALL OCCUPATIONAL THERAPY
Practice Location Address:

4360 BAYCHESTER AVE , APT 6A
BRONX, NY
10466-1829

Practice Phone: 718-325-6721
Practice Fax:

1972892446 — NYSSPT, INC.
Practice Location Address:

1829 HOBART AVE
BRONX, NY
10461-4117

Practice Phone: 347-810-7637
Practice Fax: 347-810-7638

1003334749 — MAXWELL ODOI
Practice Location Address:

3478 CORSA AVE
BRONX, NY
10469-1829

Practice Phone: 646-427-4129
Practice Fax:

1649138314 — CLARITY & WELLNESS
Practice Location Address:

3174 RIVERDALE AVE OFC 1
BRONX, NY
10463-3839

Practice Phone: 347-450-6164
Practice Fax:

Directions to “RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.