Rivadeneira, David E
Rivadeneira, David E is an individual health care provider with primary practice located at 321B Crossways Park Dr , Woodbury NY 11797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Rivadeneira, David E can be contacted via phone (631) 470-1450.Contact Information
Primary practice address
321B Crossways Park Dr
Woodbury NY 11797
Phone: (631) 470-1450
Fax: (631) 470-1451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 212811 | New York |
Profile Details
| NPI number | 1457370785 |
|---|---|
| LBN Legal business name | Rivadeneira, David E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 6th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457370785 | NPPES |
| New York | MEDICAID | 02470919 | |
| New York | Other | 1636H1 | |
| New York | Other | 7019470 |
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