Provider Demographics
NPI:1427175876
Name:RIFF, DOUGLAS JAMES (PT)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JAMES
Last Name:RIFF
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:10229 MOUNTAIN CREST WAY
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-9638
Mailing Address - Country:US
Mailing Address - Phone:607-425-6978
Mailing Address - Fax:607-973-2914
Practice Address - Street 1:10229 MOUNTAIN CREST WAY
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-9638
Practice Address - Country:US
Practice Address - Phone:607-425-6978
Practice Address - Fax:607-973-2914
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024427-1225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics