Individual
ALEXA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
317 E 17TH ST, NEW YORK, NY 10003-3804
(212) 420-2390
Mailing address
317 E 17TH ST, NEW YORK, NY 10003-3804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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