Individual
MR. EVAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
181 N BELLE MEAD RD STE 6, EAST SETAUKET, NY 11733-3495
(631) 444-2599
Mailing address
8 PINE CONE CT, WADING RIVER, NY 11792-2155
(631) 875-2453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311851
NY
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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