Individual
EFILYN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9360
Mailing address
92 DAFFODIL LN, STATEN ISLAND, NY 10314-5839
(718) 761-3812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338493-1
NY
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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