Individual
KALEIGH ANNE RIVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 STATE ST, WATERTOWN, NY 13601-2839
(315) 755-1251
(315) 291-6601
Mailing address
118 HINSDALE RD, CAMILLUS, NY 13031-1629
(131) 525-4782
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
900965
NY
Other
Enumeration date
04/12/2024
Last updated
09/19/2025
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