Organization
ARAMARK
Active
Organization
ARAMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARMELO RIVERA JR. R.D. (OUTPATIENT DIETITIAN)
(646) 641-7427
Entity
Organization
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(646) 641-7427
Mailing address
1226 SHERMAN AVE, APT 21, BRONX, NY 10456-3015
(646) 641-7427
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
006442
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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