Individual
DR. DAVID E RIVADENEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321B CROSSWAYS PARK DR, WOODBURY, NY 11797
(631) 470-1450
(631) 470-1451
Mailing address
321B CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 470-1450
(631) 470-1451
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
212811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02470919
—
NY
01
—
1636H1
EMPIRE BC.BS
NY
01
—
7019470
AETNA
NY
Enumeration date
07/18/2006
Last updated
06/06/2018
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