Provider Demographics
NPI:1083024939
Name:RIVERSIDE HEALTH CONSULTING INC
Entity Type:Organization
Organization Name:RIVERSIDE HEALTH CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ADA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBEKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-377-5449
Mailing Address - Street 1:611 W 148TH ST
Mailing Address - Street 2:43
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-3107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 5TH AVE
Practice Address - Street 2:59TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10118-0110
Practice Address - Country:US
Practice Address - Phone:646-377-5449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty