National Provider Identifier
Craig Rivina
Craig Rivina is listed in the NPPES registry with a primary specialty of Physician Assistant in Lakewood, NY and a listed phone number of (716) 526-0156.
Profile Overview
- NPI
- 1699163147
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 07, 2015
- Last Updated
- August 05, 2025
Practice Location
- 390 E Fairmount Ave
- Lakewood, NY 14750
Phone: (716) 526-0156
Mailing Address
- PO Box 500
- Ellicottville, NY 14731-0500
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1699163147
- Entity Type
- Individual
- Last Name
- Rivina
- First Name
- Craig
- Mailing Street Address
- PO Box 500
- Mailing City
- Ellicottville
- Mailing State
- NY
- Mailing ZIP Code
- 14731-0500
- Mailing Country
- US
- Mailing Phone
- (716) 699-9032
- Mailing Fax
- (716) 699-9035
- Practice Street Address
- 390 E Fairmount Ave
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750
- Practice Country
- US
- Practice Phone
- (716) 526-0156
- Practice Fax
- (716) 708-1578
- Enumeration Date
- January 07, 2015
- Last Updated
- August 05, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)