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RIVERFRONT MEDICAL
NPI 1780922302
Clinic/Center - Corporate Health in Fayetteville, NY

Active since January 17, 2013
105 WOODBERRY LN, FAYETTEVILLE, NY 13066(315) 445-9655 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Riverfront Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERFRONT MEDICAL (NPI 1780922302) is a healthcare organization registered as a corporate health in Fayetteville, New York and active in the NPI registry since January 2013. The organization lists Peter Clark, President, as its authorized official.

NPPES Registry Identity

NPI1780922302
Entity TypeOrganization
Primary Taxonomy261QC1800X
Legal Business NameRIVERFRONT MEDICAL
Location Address105 WOODBERRY LNFayetteville, NY 13066-1745
Mailing Address1020 7th North St, Suite 220Liverpool, NY 13088-6192 · (315) 451-3906
Phone(315) 445-9655
Organization SubpartNo
Authorized OfficialPeter ClarkPresident · (315) 451-3906
Enumeration DateJanuary 17, 2013
✔ NPI 1780922302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Corporate HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1800X
License✔ Licensed in NY · 163502-1
105 WOODBERRY LN, Fayetteville, NY 13066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverfront Medical's NPI number?

The NPI number for Riverfront Medical is 1780922302. It was assigned to this organization in the NPPES registry on January 17, 2013.

Where is Riverfront Medical located?

Riverfront Medical is located at 105 Woodberry Ln, Fayetteville, NY 13066. The listed phone number is (315) 445-9655.

What is Riverfront Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Corporate Health, with taxonomy code 261QC1800X.

When was this NPI record last updated?

The NPPES record for Riverfront Medical was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.