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ERIVER NEUROLOGY OF NEW YORK. LLC NPI 1811064520


NPI Information

NPI: 1811064520
Provider Name: ERIVER NEUROLOGY OF NEW YORK. LLC

Doing Business As: ERIVER NEUROLOGY OF NY LLC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
21 FOX STREET
SUITE 102
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 452-9750
Get Directions

ERIVER NEUROLOGY OF NEW YORK. LLC is a neurology psychiatry neurology in Poughkeepsie, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ERIVER NEUROLOGY OF NEW YORK. LLC NPI is 1811064520. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eriver Neurology Of Ny Llc.

The provider's business location address is:

21 FOX STREET
SUITE 102
POUGHKEEPSIE, NY
ZIP 12601-723
Phone: (845) 452-9750
Fax: (845) 452-9751

The provider's authorized official is Kathy Ryan .
The authorized official title is Office Manager and has the following contact phone number (845) 452-9750.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 4/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
2363LA2200XNurse PractitionerAdult HealthNo
3363LF0000XNurse PractitionerFamilyNo
42084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102724909MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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