person
John Richard Restivo, MD
Diagnostic Radiology Physician in Rome, New York
NPI 1710935713

John Richard Restivo is a Diagnostic Radiology Physician based in Utica, NY and is specialized in Diagnostic Radiology. John Richard Restivo practices in Rome, NY and has the professional credentials of MD. The NPI Number for John Richard Restivo is 1710935713 and holds a License No. 207464 (New York).

The current practice location address for John Richard Restivo is 1500 N James St, Rome, NY and can be reached out via phone at 315-338-7029. You can also correspond with John Richard Restivo through the mailing address at 185 GENESEE ST, UTICA, NY - 13501-2199 (mailing address contact number: 315-793-8806).

Location: 1500 N James St, Rome, NY, 13501-2199
person
Provider Profile Details
NPI Number
1710935713
Provider Name
John Richard Restivo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 N James St, Rome, NY, 13501-2199
Phone Number
315-338-7029
Fax Number
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040426013913 01 NY FIDELIS
207464-9 01 NY WC
P010207464 01 NY BCBS
01754118 05 NY
4196774 01 NY GHI
10045243 01 NY CDPHP
300080976 01 NY RAIL ROAD MEDICARE
958476 01 NY MVP
01647929 05 NY
institution
Provider Business Practice Location Address Details
Address
1500 N James St
City
State
Zip
13440-2844
Phone Number
315-338-7029
Fax Number
person
Provider Business Mailing Address Details
Address
1500 N James St
City
State
Zip
13440-2844
Phone Number
315-338-7029
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
207464 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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