Basic Information
| Provider Information | |||||||||
| NPI: | 1073544292 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RITTER | ||||||||
| FirstName: | STEVEN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 360 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | KINGSTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 124013702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8453387140 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21 READE PL STE 1000 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452141880 | ||||||||
| FaxNumber: | 8452141885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 01/10/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 185300 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RS0012X | 185300 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 208000000X | 185300 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics | 207RC0200X | 185300 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02109346 | 05 | NY | MEDICAID |