River Valley Family Medical Services P.C.
Organization Active NPI Family Medicine Physician · Barryville, NY
NPI 1831241009 · NPPES record last updated May 15, 2013
Key facts
- NPI
- 1831241009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 165904 (NY)
- Legal business name
- RIVER VALLEY FAMILY MEDICAL SERVICES P.C.
- Practice address
- 3452 State Route 97
Barryville, NY 12719-5923 - Phone
- (845) 557-6411
- Fax
- (845) 557-8005
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard John Daboul Jr., M.D.
- Title
- President
- Phone
- (845) 557-6411
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 165904 | NY | Yes |
Addresses
Primary practice location
3452 State Route 97
Barryville, NY 12719-5923
Mailing address
3452 State Route 97
Barryville, NY 12719-5923
Phone (845) 557-6411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN7705 | Other | NY | RAILROAD MEDICARE |
Other providers in Barryville, NY
- Marie Katherine Devore
- Peter Shivers Johnston
- Deena Marie Kearns
- Nicole M Leib
- New Hope Manor, Inc.
- Chris Rupp
All providers in Barryville, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.