National Provider Identifier

Dana Rider

Dana Rider is listed in the NPPES registry with a primary specialty of Specialist in Cheektowaga, NY and a listed phone number of (716) 505-5700.

NPI 1235900457Cheektowaga, NYSpecialist

Profile Overview

NPI
1235900457
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 16, 2024
Last Updated
January 16, 2024

Practice Location

  • 4635 Union RD
  • Cheektowaga, NY 14225-1851

Phone: (716) 505-5700

Mailing Address

  • 257 Cleveland Dr
  • Town Of Tonawanda, NY 14223-1001

Specialties

  • Specialist (174400000X)
Full Record
NPI
1235900457
Entity Type
Individual
Last Name
Rider
First Name
Dana
Mailing Street Address
257 Cleveland Dr
Mailing City
Town Of Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-1001
Mailing Country
US
Practice Street Address
4635 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 505-5700
Enumeration Date
January 16, 2024
Last Updated
January 16, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)