Individual
MRS. BERTHA LIGIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSISTANT THERAPIST
Contact information
Practice address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 426-9595
(718) 426-2729
Mailing address
32-50 150TH PLACE, FLUSHING, NY 11354
(718) 426-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002741-1
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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