Search › New York › 363A00000X
Craig Rivina
NPI 1699163147 · on the registry since 2015
Practice
- Address
- 390 E Fairmount Ave
Lakewood, NY 14750 - Phone
- (716) 526-0156
- Fax
- (716) 708-1578
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- PA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York