Individual
DR. ELIZABETH DE LA RIVA-VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2140
(914) 493-7585
(914) 594-4336
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 493-7585
(914) 594-4336
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
243945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03249832
—
NY
Enumeration date
11/05/2009
Last updated
07/23/2013
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