Individual
JEANNETTE RIVERA-COSME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LAUGHLIN LN APT 12, GENESEO, NY 14454-9500
(585) 404-8971
Mailing address
200 LAUGHLIN LN APT 12, GENESEO, NY 14454-9500
(585) 404-8971
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
754-362-655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-3521271
—
NY
Enumeration date
01/27/2020
Last updated
01/27/2020
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