Individual
LENORA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
611 5TH AVE, NEW YORK, NY 10022-6813
(212) 940-4499
Mailing address
611 5TH AVE, NEW YORK, NY 10022-6813
(212) 940-4499
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305277
NY
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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