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Individual

DR. EDGARDO BERNARDINO RIVERA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3501 30TH AVE, ASTORIA, NY 11103-4662
(718) 721-9292
(718) 721-3222
Mailing address
331 OXFORD BLVD S, GARDEN CITY, NY 11530-5411
(718) 721-9292
(718) 721-3222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
153520
NY

Other

Enumeration date
05/18/2006
Last updated
07/08/2007
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