Individual
MR. EDWIN FERNANDO RIVERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
560 1ST AVE, TISCH ROOM 1798, NEW YORK, NY 10016-6402
(212) 263-5430
Mailing address
560 1ST AVE, TISCH ROOM 1798, NEW YORK, NY 10016-6402
(212) 263-5430
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000778-1
NY
Other
Enumeration date
01/12/2009
Last updated
03/07/2023
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