Provider Demographics
NPI:1194014191
Name:RIVER RENAL SERVICES, INC.
Entity Type:Organization
Organization Name:RIVER RENAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SINITZKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-889-0770
Mailing Address - Street 1:462 FIRST AVE, BELLEVUE HOSPITAL CENTER
Mailing Address - Street 2:HOSPITAL BLDG 5 NORTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-889-0770
Mailing Address - Fax:
Practice Address - Street 1:462 FIRST AVE, BELLEVUE HOSPITAL CENTER
Practice Address - Street 2:HOSPITAL BLDG 5 NORTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-889-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment