Individual
MR. JOEL RIVERA ESTABILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1190 5TH AVE # 1028, NEW YORK, NY 10029-6503
(212) 659-6800
Mailing address
95 NEW YORK AVE, BERGENFIELD, NJ 07621-1330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430365
NY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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