Individual
DR. MARIA ESTELA ROA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8634
(718) 630-3138
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8634
(718) 630-3138
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22754201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22754201
NYS LICENSE
NY
Enumeration date
03/16/2007
Last updated
03/07/2023
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