Basic Information
| Provider Information | |||||||||
| NPI: | 1669448239 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RITZ | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | RPAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 304 | ||||||||
| Address2: | |||||||||
| City: | GLENS FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128010304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5189266999 | ||||||||
| FaxNumber: | 5189266984 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 BROAD STREET PLZ | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | GLENS FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128014363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5189261380 | ||||||||
| FaxNumber: | 5189261385 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 02/17/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 006799 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.