Individual
MR. NIKOLAS W RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3352
Mailing address
22 SHANNON ST APT 2, BRIGHTON, MA 02135-3433
(716) 998-6810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9304
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
01/31/2026
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