Provider Demographics
NPI:1639199367
Name:RIINA, HOWARD A (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:A
Last Name:RIINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:SKI 8R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-5382
Mailing Address - Fax:212-263-8664
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SKI 8R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5382
Practice Address - Fax:212-263-8664
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201808207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02159346Medicaid
NY17R202Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER