MEDICARE: ASHLEY K RITZHEIMER

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	101YM0800X	Mental Health Counselor		NY

General Provider Information

NPI Number	:	1902738248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY K RITZHEIMER

Provider Business Mailing Address
First Line	:	2105 COLD SPRINGS RD
Second Line	:
City	:	LIVERPOOL
State	:	NY
Zip	:	13090-3111
Country	:	US
Telephone Number	:	518-335-1487
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 ERIE BLVD E
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13210-1014
Country	:	US
Telephone Number	:	518-335-1487
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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