Healthcare Provider Details

I. General information

NPI: 1902738248
Provider Name (Legal Business Name): ASHLEY K RITZHEIMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 ERIE BLVD E
SYRACUSE NY
13210-1014
US

IV. Provider business mailing address

2105 COLD SPRINGS RD
LIVERPOOL NY
13090-3111
US

V. Phone/Fax

Practice location:
  • Phone: 518-335-1487
  • Fax:
Mailing address:
  • Phone: 518-335-1487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: