MEDICARE: FERDINAND RIVERA P.T.

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	225100000X	Physical Therapist	026801-1	NY

General Provider Information

NPI Number	:	1063604627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERDINAND RIVERA P.T.

Provider Business Mailing Address
First Line	:	30 MOUNTAINVIEW AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4036
Country	:	US
Telephone Number	:	718-370-0951
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 MOUNTAINVIEW AVE.
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4036
Country	:	US
Telephone Number	:	718-370-0951
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	08/16/2007

Similar Medicare Providers

1720409782 — LEJLA DELJANIN B.A.
Practice Location Address:

37 JOHNSON PL
STATEN ISLAND, NY
10304-4036

Practice Phone: 347-707-6651
Practice Fax:

1437735826 — CHRISTOPHER ASEERVATHAM
Practice Location Address:

66 SUNNYSIDE TER
STATEN ISLAND, NY
10301-4036

Practice Phone: 718-982-9160
Practice Fax:

1174306013 — MS. MEHTAP GUNEY M.S. SPED.
Practice Location Address:

40 SUNNYSIDE TER FL 1
STATEN ISLAND, NY
10301-4036

Practice Phone: 347-863-5634
Practice Fax:

1578926408 — MS. SHAYLA NICOLE SMITH
Practice Location Address:

2035 SECRET GARDEN LN UNIT 505
FLEMING ISLAND, FL
32003-4036

Practice Phone: 904-505-7206
Practice Fax:

1538143680 — MR. MARK DIBUONO MD
Practice Location Address:

260 CHRISTOPHER LANE , STE 3F
STATEN ISLAND, NY
10314-1607

Practice Phone: 718-317-5522
Practice Fax: 718-494-5714

1356286124 — STATE OF NEW YORK COMPTROLLERS OFFICE
Practice Location Address:

930 WILLOWBROOK RD BLDG 15L
STATEN ISLAND, NY
10314-4209

Practice Phone: 518-402-4333
Practice Fax:

Directions to “ FERDINAND RIVERA P.T.” 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.