Jennifer Rivera

NPI #1306216379 in Bay Shore, New York

Provider Information

NPI Number: 1306216379
Entity Type: Individual
Name: Jennifer Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 2, 2015
Last Updated: Oct 2, 2015

Practice Location

Address: 94 SMITH AVE
City: Bay Shore
State: New York
ZIP Code: 11706-7380
Phone: (631) 241-8084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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