Kenneth David Rivera

NPI #1609826155 in Nyack, New York

Provider Information

NPI Number
1609826155
Entity Type
Individual
Name
Kenneth David Rivera
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
May 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
197 SICKLES AVE
Address 2
APT. B11
City
Nyack
ZIP Code
10960-1810
Phone
(845) 988-6303

Specialties & Taxonomy Codes

Specialty
Contractor

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