Individual
ANTONIO ERNESTO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 262-5000
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051514
NY
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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