Organization
DR. MARIOLA RIVERA PODIATRY, PLLC
Active
Other names
Dr. Mariola Rivera Podiatry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIOLA RIVERA MORELL DPM (PRESIDENT)
(914) 325-7414
Entity
Organization
Contact information
Practice address
10 MITCHELL PL STE 105, WHITE PLAINS, NY 10601-4300
(914) 328-3400
(914) 290-5795
Mailing address
15 WINKLER FARM RD, BEDFORD, NY 10506-1733
(914) 325-7414
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093111866
INDIVIDUAL
NY
Enumeration date
04/23/2018
Last updated
04/23/2018
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