Individual
DR. GREGORY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
656 W 183RD ST, NEW YORK, NY 10033-3806
(212) 795-2261
(212) 795-2671
Mailing address
656 W 183RD ST, NEW YORK, NY 10033-3806
(212) 795-2261
(212) 795-2671
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02487227
—
NY
Enumeration date
08/04/2006
Last updated
09/08/2008
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