Individual
EVELYN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 BROADWAY, NEW YORK, NY 10003-9502
(212) 443-1146
Mailing address
256 JEFFERSON BLVD, STATEN ISLAND, NY 10312-3037
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F4200711
NY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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