Provider Demographics
NPI:1871298240
Name:RIVERDALE OPHTHALMOLOGY, PLLC
Entity type:Organization
Organization Name:RIVERDALE OPHTHALMOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOD
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:HALLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-432-2000
Mailing Address - Street 1:3220 FAIRFIELD AVE STE C1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3240
Mailing Address - Country:US
Mailing Address - Phone:718-432-2000
Mailing Address - Fax:718-432-2001
Practice Address - Street 1:475 TUCKAHOE RD STE 203
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-5716
Practice Address - Country:US
Practice Address - Phone:914-961-2700
Practice Address - Fax:914-961-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies