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Individual
DR. GREGORY RIVERA
Active
Individual
DR. GREGORY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02487227
—
NY
Enumeration date
08/04/2006
Last updated
09/08/2008
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