Individual
LAURA FERNANDEZ RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
514 S BAY RD, NORTH SYRACUSE, NY 13212-3627
(315) 458-1777
Mailing address
514 S BAY RD, NORTH SYRACUSE, NY 13212-3627
(315) 458-1777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N007164
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
10/27/2022
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