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Organization
RIVERSIDE ORTHOPAEDIC & SPORTS MEDICINE ASSOCIATES, P.C.
Active
Organization
RIVERSIDE ORTHOPAEDIC & SPORTS MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY V DERMKSIAN MD (TREASURER)
(212) 265-2828
Entity
Organization
Contact information
Practice address
1790 BROADWAY, 10TH FLOOR, NEW YORK, NY 10019-1412
(212) 265-2828
(212) 265-3130
Mailing address
1790 BROADWAY, 10TH FLOOR, NEW YORK, NY 10019-1412
(212) 265-2828
(212) 265-3130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
335E00000X
Prosthetic/Orthotic Supplier
—
NY
Other
Enumeration date
11/01/2006
Last updated
01/30/2013
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