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Individual
MR. EDWIN FERNANDO RIVERA SR.
Active
Individual
MR. EDWIN FERNANDO RIVERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000778-1
NY
Other
Enumeration date
01/12/2009
Last updated
03/07/2023
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