Individual
ANDREA RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17730 WEXFORD TER, JAMAICA, NY 11432-2924
(347) 494-4896
Mailing address
10421 ROCKAWAY BLVD, OZONE PARK, NY 11417-2234
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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