Individual
SHAILYN RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 THIERIOT AVE, BRONX, NY 10460-3811
(917) 608-9754
Mailing address
1425 THIERIOT AVE APT 5H, BRONX, NY 10460-3815
(917) 608-9754
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1851863241
NY
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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