Individual
MS. CARMEN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1794 E 172ND ST, BRONX, NY 10472-1936
(718) 824-0950
Mailing address
1794 E 172ND ST, BRONX, NY 10472-1936
(718) 824-0950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017789
NY
Other
Enumeration date
11/29/2016
Last updated
01/07/2017
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