Craig Rivina

NPI #1699163147 in Lakewood, New York

Provider Information

NPI Number: 1699163147
Entity Type: Individual
Name: Craig Rivina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 7, 2015
Last Updated: Aug 5, 2025

Practice Location

Address: 390 E FAIRMOUNT AVE
City: Lakewood
State: New York
ZIP Code: 14750
Phone: (716) 526-0156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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