Individual
MR. JOSE M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
47 RURAL LN, LEVITTOWN, NY 11756-5423
(516) 456-1395
Mailing address
47 RURAL LN, LEVITTOWN, NY 11756-5423
(516) 456-1395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021049-1
NY
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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