Individual
SHELLY RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3101 SHIPPERS RD STE 102, VESTAL, NY 13850-2081
(607) 251-2100
Mailing address
50 FRONT ST APT 323, BINGHAMTON, NY 13905-4740
(917) 292-9316
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
282663
NY
Other
Enumeration date
05/13/2013
Last updated
03/05/2024
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