Individual
MRS. DAMARIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-3748
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-3748
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30305572
NY
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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