Dina Marie Rivera

NPI #1245609338 in East Northport, New York

Provider Information

NPI Number: 1245609338
Entity Type: Individual
Name: Dina Marie Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 18, 2015
Last Updated: Dec 29, 2015

Practice Location

Address: 4199 JERICHO TPKE
City: East Northport
State: New York
ZIP Code: 11731-6240
Phone: (631) 238-3066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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