Provider Demographics
NPI:1336617331
Name:RIVERTOWNS PEDIATRICS PC
Entity Type:Organization
Organization Name:RIVERTOWNS PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NITIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-330-8445
Mailing Address - Street 1:18 ASHFORD AVE STE 3W
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1824
Mailing Address - Country:US
Mailing Address - Phone:914-330-8445
Mailing Address - Fax:914-330-8446
Practice Address - Street 1:18 ASHFORD AVE STE 3W
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1824
Practice Address - Country:US
Practice Address - Phone:914-330-8445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty