Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Surgery & Breastcare

Organization Surgery Physician · NPI 1104873975

Riverside Surgery & Breastcare is a Surgery Physician in Johnson City, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

355 Riverside Dr
Johnson City, NY 13790-2708
Phone: (607) 798-0706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1104873975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dariush Vaziri — Physician · (607) 798-0706
NPI enumeratedMay 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address355 Riverside Dr, Johnson City, NY 13790-2708

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