Individual
DAVID FRANK RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Mailing address
25 JONES RD, WARWICK, NY 10990-2830
(845) 986-0919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00346100
NJ
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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