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Individual
STEPHEN RIVERA
Active
Individual
STEPHEN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
888841
NY
164W00000X
Licensed Practical Nurse
320564
NY
Other
Enumeration date
06/05/2015
Last updated
08/02/2024
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