Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 185300 | NY |
N | 111NI0900X | Internist | 185300 | NY |
Y | 207RC0200X | Critical Care Medicine | 185300 | NY |
N | 207RS0012X | Sleep Medicine | 185300 | NY |
N | 208000000X | Pediatrician | 185300 | NY |
NPI | 1073544292 |
---|---|
Provider Name | Steven Ritter |
First Address | Kingston, NY 12401-3702 |
Second Address | Poughkeepsie, NY 12601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 10/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02109346 | (05) | NY |
F32343 | (02) |