Organization
RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIYA LOTSVIN M.D. (CEO)
(718) 543-6404
Entity
Organization
Contact information
Practice address
3533 RIVERDALE AVE, BRONX, NY 10463-1829
(718) 432-5500
(718) 432-5230
Mailing address
5625 INDEPENDENCE AVE, BRONX, NY 10471-1230
(914) 309-5801
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
207153
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01827669
—
NY
01
—
068AR1
EMPIRE BLUE CROSS BLUE S
NY
01
—
2016541007
CIGNA HEALTHCARE
NY
01
—
2043796
UNITED HEALTHCARE
NY
01
—
207153
HIP OF GREATER NY
NY
01
—
2594234
GHI
NY
01
—
4C7908
HEALTHNET NORTHEAST
NY
01
—
5227722
AETNA
NY
01
—
LL7153
ATLANTIS HEALTHCARE
NY
01
—
P00102478
RAILROAD MEDICARE
NY
01
—
P2706586
OXFORD HEALTHCARE
NY
Enumeration date
11/01/2006
Last updated
08/16/2021
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