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Organization
RIVER MEDICAL PRACTICE PC
Active
Organization
RIVER MEDICAL PRACTICE PC
Active
Parent organization
RIVER HOSPITAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER HOSPITAL, INC.
Authorized official
KELLEY TIERNAN (CEO)
(315) 482-2511
Entity
Organization
Contact information
Practice address
300 CHAPMAN STREET RD, MORRISTOWN, NY 13664-3254
(315) 482-2511
(315) 482-7506
Mailing address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-2511
(315) 482-7506
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
09/28/2026
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