Individual
MARY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
52 HARRISON ST, SOUTHERN TIER PULMONARY, JOHNSON CITY, NY 13790-2120
(607) 729-8845
(607) 729-5574
Mailing address
52 HARRISON ST, SOUTHERN TIER PULMONARY, JOHNSON CITY, NY 13790-2120
(607) 729-8845
(607) 729-5574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301728
NY
Other
Enumeration date
12/07/2005
Last updated
06/29/2009
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