Individual
AMOS IOLO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8009 35TH AVE APT F6, JACKSON HEIGHTS, NY 11372-4941
(347) 403-8864
Mailing address
8009 35TH AVE APT F6, JACKSON HEIGHTS, NY 11372-4941
(347) 403-8864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729463-01
NY
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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