Healthcare Provider Details

I. General information

NPI: 1336617331
Provider Name (Legal Business Name): RIVERTOWNS PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 ASHFORD AVE STE 3W
DOBBS FERRY NY
10522-1824
US

IV. Provider business mailing address

18 ASHFORD AVE STE 3W
DOBBS FERRY NY
10522-1824
US

V. Phone/Fax

Practice location:
  • Phone: 914-330-8445
  • Fax:
Mailing address:
  • Phone: 914-330-8445
  • Fax: 914-330-8446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. NITIN GUPTA
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 914-330-8445