Healthcare Provider Details

I. General information

NPI: 1447080858
Provider Name (Legal Business Name): RIVERWAY MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 ROUTE 9 STE 101
WAPPINGERS FALLS NY
12590-1347
US

IV. Provider business mailing address

1605 ROUTE 9 STE 101
WAPPINGERS FALLS NY
12590-1347
US

V. Phone/Fax

Practice location:
  • Phone: 845-593-9682
  • Fax: 845-237-5917
Mailing address:
  • Phone: 845-593-9682
  • Fax: 845-237-5917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAYS AL-SHAER
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 845-505-8181