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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRAIG RIVINA

Active

CRAIG RIVINA is a Physician Assistant healthcare provider located in LAKEWOOD, New York. NPI 1699163147 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKEWOOD, NY

Registration Details

NPI Number
1699163147
Provider Type
Individual
Gender
Male
NPI Issued
Jan 7, 2015 (11.616450601541 yrs)
Last Updated
Aug 5, 2025
Licenses
OA003464 (PA)
MA057397 (PA)
022362 (NY)

Practice Information

Address
390 E FAIRMOUNT AVE
LAKEWOOD, NY, 14750
Browse NY providers · Browse ZIP 14750
Phone
7165260156
Fax
7167081578
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LAKEWOOD, NY

Name Credential NPI
STEPHEN C BARRESI PA-C 1942417977
ALICIA J SNOW PA-C 1003213992
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.