Individual
MRS. TONI RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 RIDGWOOOD ST, VALLEY STREAM, NY 11580
(347) 228-8238
Mailing address
33 RIDGEWOOD ST, VALLEY STREAM, NY 11580-2507
(347) 228-8238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006994-1
NY
Other
Enumeration date
09/27/2013
Last updated
11/04/2013
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