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Individual

DR. RIVA R KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3226
(212) 305-8980
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3226
(212) 305-8980

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
220635
NY
207L00000X
Anesthesiology Physician
ME94040
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2745372-00
FL
Enumeration date
06/20/2006
Last updated
01/13/2009
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