# JOHN R RIKER DC PLLC

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

## Provider details

- **NPI number:** 1518091818
- **Authorized official:** DR. JOHN R RIKER DC (OWNER)
- **Authorized official phone:** (518) 731-7094

## Contact information

- **Practice address:** 11824 RT. 9W, SUITE 2, W. COXSACKIE, NY 12192
- **Practice address phone:** (518) 731-7094
- **Mailing address:** 11824 RT. 9W, SUITE 2, W. COXSACKIE, NY 12192
- **Mailing address phone:** (518) 731-7094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005277 | NY | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10045225 | CDPHP | NY |