Individual
CRISTINA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
361 BROADWAY, BETHPAGE, NY 11714-3008
(631) 766-2169
(516) 934-0788
Mailing address
31 BUHL LN, EAST NORTHPORT, NY 11731-5215
(631) 766-2169
(516) 934-0788
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
006837-1
NY
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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