Individual
MARIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 BROADWAY, GREENLAWN, NY 11740-1328
(631) 742-0997
Mailing address
92 BROADWAY, SUITE 200, GREENLAWN, NY 11740-1328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031827
NY
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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