Organization
RIVERSIDE ASSOCIATES IN ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W. KENT MONTEITH MD (PRESIDENT)
(607) 722-7264
Entity
Organization
Contact information
Practice address
OUR LADY OF LOURDES HOSPITAL, 169 RIVERSIDE DRIVE, BINGHAMTON, NY 13905-4246
(607) 722-7264
(607) 722-7869
Mailing address
38-40 FRONT ST, BINGHAMTON, NY 13905-4712
(607) 722-7264
(607) 722-7869
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00467469
—
NY
05
—
0912726
—
PA
01
—
1130615082
TRAVELERS MEDICARE
—
Enumeration date
09/21/2005
Last updated
08/22/2020
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