Individual
DANIELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4856 47TH ST APT 1A, WOODSIDE, NY 11377-7237
(516) 305-3146
Mailing address
4856 47TH ST APT 1A, WOODSIDE, NY 11377-7237
(516) 305-3146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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