Dr Juan Angel Leonidas Rivolta, MD | |
411 Theodore Fremd Ave, Suite 206 South, Rye, NY 10580-1411 | |
(917) 685-2419 | |
(917) 905-1993 |
Full Name | Dr Juan Angel Leonidas Rivolta |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 411 Theodore Fremd Ave, Rye, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982014833 | NPI | - | NPPES |
1982014833 | Medicaid | NY | |
292297 | Other | NY | NYS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 292297 (New York) | Primary |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Entity Name | Community Assistance Resources & Extended Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396049987 PECOS PAC ID: 9931321320 Enrollment ID: O20141120000352 |
Mailing Address | Practice Location Address |
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Dr Juan Angel Leonidas Rivolta, MD 38 Howell Ave, Larchmont, NY 10538-3249 Ph: (917) 685-2419 | Dr Juan Angel Leonidas Rivolta, MD 411 Theodore Fremd Ave, Suite 206 South, Rye, NY 10580-1411 Ph: (917) 685-2419 |
Dr. Elliot Roy Singer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 754 Boston Post Road, Rye, NY 10580 Phone: 914-967-4567 Fax: 914-967-4663 | |
Aimee L Paniagua-ryan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 35 Purchase St, Rye, NY 10580 Phone: 914-661-7484 Fax: 914-206-3565 | |
Dr. Robert Sussman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 167 Purchase St, Rye, NY 10580 Phone: 914-967-1363 Fax: 914-632-2089 | |
Dr. Jessica Solanda Nowillo, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 35-37 Purchase St Ste 203, Rye, NY 10580 Phone: 914-334-6127 Fax: 914-306-8704 | |
Dr. George L Hogben, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 66 Milton Rd, Rye, NY 10580 Phone: 914-967-3144 Fax: 914-967-3144 | |
Dr. Allison V. Downer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 35 Purchase St, 303, Rye, NY 10580 Phone: 914-400-9182 | |
Dr. Joel Gonchar, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 14 Waters Edge, Rye, NY 10580 Phone: 212-879-8892 Fax: 914-472-6409 |