Individual
NICOLAS R RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
588 STATE ROUTE 302, PINE BUSH, NY 12566-6761
(352) 504-8464
Mailing address
588 STATE ROUTE 302, PINE BUSH, NY 12566-6761
(352) 504-8464
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
882305
NY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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