Individual
BRYAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2322 30TH AVE, ASTORIA, NY 11102-3255
(718) 545-0700
Mailing address
6805 FRESH POND RD, RIDGEWOOD, NY 11385-5200
(718) 456-2545
(718) 799-9191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041551-1
NY
Other
Enumeration date
05/10/2018
Last updated
05/01/2024
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