Individual
DR. JUAN ANGEL LEONIDAS RIVOLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 THEODORE FREMD AVE, SUITE 206 SOUTH, RYE, NY 10580-1411
(917) 685-2419
(917) 905-1993
Mailing address
38 HOWELL AVE, LARCHMONT, NY 10538-3249
(917) 685-2419
(917) 905-1993
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
292297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982014833
—
NY
01
—
292297
NYS LICENSE
NY
Enumeration date
04/30/2014
Last updated
06/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us