Individual
JULIE A. RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 10TH AVE, ST.LUKE'S-ROOSEVELT HOSPITAL-AINY, NEW YORK, NY 10019-1147
(212) 523-6152
(212) 523-8187
Mailing address
515 W 59TH ST APT 30N, NEW YORK, NY 10019-1031
(212) 523-6152
(212) 523-8187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303966
NY
363LP0200X
Pediatric Nurse Practitioner
F380931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407918
—
NY
Enumeration date
12/14/2006
Last updated
10/27/2023
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