Individual
MRS. HEIDI NICOLE RIVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 LAKE ST, RAMSEY, NJ 07446-2089
(017) 850-0112
(201) 785-9100
Mailing address
1033 US HIGHWAY 46 STE 102, CLIFTON, NJ 07013-2448
(973) 799-7979
(973) 799-7970
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3159
CT
363AM0700X
Medical Physician Assistant
Primary
MP00599500
NJ
Other
Enumeration date
03/25/2014
Last updated
05/15/2024
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