Individual
DR. CARMINA RAMONA NOLASCO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18730 HILLSIDE AVE, JAMAICA, NY 11432-3216
(718) 264-1111
Mailing address
183 109TH AVE, ELMONT, NY 11003-2017
(516) 502-6574
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
250151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03038002
—
NY
Enumeration date
09/18/2008
Last updated
12/07/2011
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