Individual
MS. ELBA IVELISSE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. EDUCATION
Contact information
Practice address
700 SUMMER ST APT 6B, STAMFORD, CT 06901-1007
(347) 599-8756
Mailing address
700 SUMMER ST APT 6B, STAMFORD, CT 06901-1007
(347) 599-8756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
626281
NY
Other
Enumeration date
06/18/2012
Last updated
12/22/2023
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