Individual
DAVID A RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 CRUGER AVE APT 3G, BRONX, NY 10462-2363
(347) 761-5239
Mailing address
2105 CRUGER AVE APT 3G, BRONX, NY 10462-2363
(347) 761-5239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
08/26/2019
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