Organization
RIVER HOSPITAL, INC.
Active
Organization
RIVER HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MASTALER PRESIDENT (CHIEF EXECUTIVE OFFICER)
(315) 482-1110
Entity
Organization
Contact information
Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-1116
(315) 482-7153
Mailing address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-2511
(315) 482-4981
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
221001N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02390774
—
NY
Enumeration date
06/28/2005
Last updated
09/30/2020
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