Provider Demographics
NPI:1841013836
Name:IONTA, RIVER CARLILE (DC)
Entity type:Individual
Prefix:DR
First Name:RIVER
Middle Name:CARLILE
Last Name:IONTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ATTN: RIVER FLOW CHIROPRACTIC
Mailing Address - Street 2:522 FRANKLIN ST
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1122
Mailing Address - Country:US
Mailing Address - Phone:716-202-8339
Mailing Address - Fax:
Practice Address - Street 1:522 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1122
Practice Address - Country:US
Practice Address - Phone:716-202-8339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor