Individual
ELENA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SILLS RD, YAPHANK, NY 11980
(631) 924-5583
Mailing address
133 HOLIDAY BLVD, CENTER MORICHES, NY 11934-3022
(631) 278-5887
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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