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Individual

RAMON E. RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
156 ROUTE 59 STE A2, SUFFERN, NY 10901-5013
(845) 517-2870
(845) 517-2871
Mailing address
156 ROUTE 59 STE A2, SUFFERN, NY 10901-5013
(845) 517-2870
(845) 517-2871

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
232695-1
NY
208600000X
Surgery Physician
Primary
232695
NY
2086S0102X
Surgical Critical Care Physician
232695-1
NY
2086S0127X
Trauma Surgery Physician
232695-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02601545
NY
Enumeration date
07/20/2005
Last updated
01/09/2017
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