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Individual

MA AGNES RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 E 34TH ST STE 1E, NEW YORK, NY 10016-4977
(212) 651-4380
Mailing address
4032 68TH ST, WOODSIDE, NY 11377-3832

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
02/09/2022
Last updated
02/09/2022
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