Organization
RIVERSIDE MEDICATION MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE WELBECK DNP (OWNER)
(619) 952-2232
Entity
Organization
Contact information
Practice address
670 RIVERSIDE DR, NEW YORK, NY 10031-5520
(917) 969-0299
Mailing address
670 RIVERSIDE DR, NEW YORK, NY 10031-5520
(619) 952-2232
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
01/08/2024
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