Individual
STEFANEE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(347) 866-4004
Mailing address
998 JACKSON AVE, FRANKLIN SQUARE, NY 11010-2129
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407335
NY
Other
Enumeration date
10/02/2013
Last updated
10/14/2025
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