Individual
MS. ANGELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-2900
(212) 423-2920
Mailing address
320 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-2900
(212) 423-2920
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
159699-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00987811
—
NY
Enumeration date
03/26/2008
Last updated
03/26/2008
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