Individual
SAAJA RIVETTE-SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
71 CLINTON RD, GARDEN CITY, NY 11530-4742
(516) 608-6324
Mailing address
2351 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1822
(516) 608-6324
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
504448-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504448-01
—
NY
Enumeration date
11/23/2021
Last updated
11/23/2021
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