Individual
DR. JOSE ANTONIO RIVERO SUTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-3730
Mailing address
4220 24TH ST APT 41J, LONG ISLAND CITY, NY 11101-4659
(917) 569-0131
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
060222
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/10/2012
Last updated
01/31/2020
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