Provider Demographics
NPI:1487893293
Name:RIVIETZ, ZECHARIAH (DC)
Entity type:Individual
Prefix:DR
First Name:ZECHARIAH
Middle Name:
Last Name:RIVIETZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 E 74TH ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3208
Mailing Address - Country:US
Mailing Address - Phone:516-480-2936
Mailing Address - Fax:631-231-5201
Practice Address - Street 1:173 E 74TH ST APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3208
Practice Address - Country:US
Practice Address - Phone:516-480-2936
Practice Address - Fax:631-231-5201
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6846111NN0400X
NYX009571-1111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology