Individual
MARY C RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WX0601X
Otorhinolaryngology & Head-Neck Registered Nurse
Primary
F330916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02430495
—
NY
01
—
CW109237
PREFERRED CARE
NY
01
—
P019330916
BLUE CHOICE
NY
Enumeration date
06/22/2006
Last updated
03/17/2011
Update your record
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