Individual
ANTHONY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1523 CENTRAL PARK AVE APT 4B, YONKERS, NY 10710-6021
(914) 319-3297
Mailing address
1523 CENTRAL PARK AVE APT 4B, YONKERS, NY 10710-6021
(914) 319-3297
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330718
NY
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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