Individual
JILLIAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PARKWAY S, MOUNT VERNON, NY 10552-2343
(914) 525-1727
Mailing address
140 PARKWAY S, MOUNT VERNON, NY 10552-2343
(914) 525-1727
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
669226121
NY
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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