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Individual

BRITTANY RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
73 LILLIAN RD, NESCONSET, NY 11767-3133
(631) 291-7023

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023157
NY
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447594510
NY
Enumeration date
11/15/2012
Last updated
03/01/2019
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