Healthcare Provider Details

I. General information

NPI: 1083024939
Provider Name (Legal Business Name): RIVERSIDE HEALTH CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 04/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 5TH AVE 59TH FL
NEW YORK NY
10118-0110
US

IV. Provider business mailing address

611 W 148TH ST 43
NEW YORK NY
10031-3107
US

V. Phone/Fax

Practice location:
  • Phone: 646-377-5449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: ADA OBEKPA
Title or Position: MD
Credential:
Phone: 646-377-5449