Individual
YADIRA ELIZABETH GARCIA RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1414 CROES AVE APT 1R, BRONX, NY 10472-1434
(347) 932-4964
Mailing address
1414 CROES AVE APT 1R, BRONX, NY 10472-1434
(347) 932-4964
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-453
NY
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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