Individual
DR. CHRISTA LYNN RIVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
485 WESTERN AVE, ALBANY, NY 12203-1512
(518) 453-9252
(518) 453-9252
Mailing address
485 WESTERN AVE, ALBANY, NY 12203-1512
(518) 453-9252
(518) 453-9252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005444 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00275238
RAIL ROAD MEDICARE
NY
01
—
X0878
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
12/05/2006
Last updated
07/08/2007
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