Individual
NELSI RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152-53RD 10TH AVE, 201, WHITESTONE, NY 11357-1135
(718) 357-3639
Mailing address
260 REUNION RDG, EAST STROUDSBURG, PA 18301-9393
(917) 455-3042
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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