Individual
LEONARDO RAMOS RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18730 HILLSIDE AVE, JAMAICA, NY 11432-3216
(718) 264-1111
(718) 264-2195
Mailing address
182 INDUSTRIAL RD, STE 107, GLEN ROCK, PA 17327-8626
(717) 759-5148
(717) 759-5435
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
264995
NY
Other
Enumeration date
11/28/2011
Last updated
02/26/2020
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