Provider Demographics
NPI:1184859381
Name:RECOVERHEALTH MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:RECOVERHEALTH MEDICAL SERVICES, PLLC
Other - Org Name:RECOVERHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-517-2870
Mailing Address - Street 1:156 ROUTE 59 STE A2
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5013
Mailing Address - Country:US
Mailing Address - Phone:845-517-2870
Mailing Address - Fax:845-517-2871
Practice Address - Street 1:156 ROUTE 59 STE A2
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5013
Practice Address - Country:US
Practice Address - Phone:845-517-2870
Practice Address - Fax:845-517-2871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232695208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty