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Individual

ALEXA LISSETTE RIOS RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
468 DELAWARE AVE, BUFFALO, NY 14202
(716) 847-1200
(716) 847-1212
Mailing address
711 BORDEN RD, CHEEKTOWAGA, NY 14227-3232
(718) 668-8108

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013236
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013236
STATE LICENSE
NY
Enumeration date
03/29/2019
Last updated
11/03/2022
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