Individual
BRIAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
130 N CARLL AVE, BABYLON, NY 11702-2238
(631) 482-8829
(631) 482-8832
Mailing address
130 N CARLL AVE, BABYLON, NY 11702-2238
(631) 482-8829
(631) 482-8832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033468
NY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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