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Organization

RIVIA MEDICAL PLLC

Active
Parent organization
RIVIA MEDICAL PLLC
Other names
RIVIA Mind
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIVIA MEDICAL PLLC
Authorized official
WEN AO DANA WANG (MD)
(347) 979-7798
Entity
Organization

Contact information

Practice address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Mailing address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/19/2023
Last updated
04/21/2023
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