Provider Demographics
NPI:1609684059
Name:RITI, AUGUST J (ALMFT)
Entity type:Individual
Prefix:
First Name:AUGUST
Middle Name:J
Last Name:RITI
Suffix:
Gender:M
Credentials:ALMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 WALNUT AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3734
Mailing Address - Country:US
Mailing Address - Phone:347-494-3127
Mailing Address - Fax:
Practice Address - Street 1:17139 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2718
Practice Address - Country:US
Practice Address - Phone:516-547-4318
Practice Address - Fax:718-463-8937
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist