Individual
LISSETTE IRMARY RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-2962
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(646) 962-4328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
758864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
758864
REGISTERED PROFESSIONAL NURSE
NY
01
—
9363438
REGISTERED NURSE
FL
Enumeration date
01/04/2019
Last updated
01/07/2025
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