Individual
JACYNTHE RIVEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, BOX 427, NEW YORK, NY 10032-3720
(212) 305-9985
(212) 305-1249
Mailing address
622 W 168TH ST, BOX 427, NEW YORK, NY 10032-3720
(212) 305-9985
(212) 305-1249
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
P72170
NY
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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