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NPI Code Detail

MEDICARE: RIVERVIEW PEDIATRICS

MEDICARE: RIVERVIEW PEDIATRICS
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
1208000000XPediatrics Physician130786NY

General Provider Information

NPI Number : 1376673319
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERVIEW PEDIATRICS
Provider Business Mailing Address
First Line : 315 2ND AVE
Second Line :
City : TROY
State : NY
Zip : 12182-3237
Country : US
Telephone Number : 518-235-6181
Fax Number : 518-237-2465
Provider Business Practice Location Address
First Line : 315 2ND AVE
Second Line :
City : TROY
State : NY
Zip : 12182-3237
Country : US
Telephone Number : 518-235-6181
Fax Number : 518-237-2465
Authorized Official
Title or Position : PARTNER
Name : DR. HENRY P TOMIAK JR.
Credential : M.D.
Telephone Number : 518-235-6181
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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315 2ND AVE
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1063874550 — MRS. LESHAUN ANGMOR F.N.P
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315 2ND AVE , SUITE 2
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Practice Fax:
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1275534521 — LINDSAY DRUG CO.,INC
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Directions to “RIVERVIEW PEDIATRICS ” Practice Location

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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.