Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 176422 | NY |
Y | 2081P2900X | Pain Medicine | 176422 | NY |
NPI | 1245333160 |
---|---|
Provider Name | Dr. Maria Rivera-Iturbe |
First Address | New York, NY 10006-2503 |
Second Address | Wappingers Falls, NY 12590-4987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 12/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F39995 | (02) | NY |