Individual
JAYLINE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 PELHAM PKWY S, BRONX, NY 10461-1003
(718) 409-8200
Mailing address
1000 PELHAM PKWY S, BRONX, NY 10461-1003
(718) 409-8200
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
798526
NY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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