Individual
ALYSSA RIVERA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
24 JUSTIN CIR, PORT JEFFERSON STATION, NY 11776-4290
(631) 796-6484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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