# RIVERSIDE MEDICATION MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053051565
- **Authorized official:** MONIQUE WELBECK DNP (OWNER)
- **Authorized official phone:** (619) 952-2232

## Contact information

- **Practice address:** 670 RIVERSIDE DR, NEW YORK, NY 10031-5520
- **Practice address phone:** (917) 969-0299
- **Mailing address:** 670 RIVERSIDE DR, NEW YORK, NY 10031-5520
- **Mailing address phone:** (619) 952-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 01/08/2024