Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A106319 | CA |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 267034 | NY |
NPI | 1225274863 |
---|---|
Provider Name | Dr. Veronica Rivera |
First Address | New York, NY 10087-8082 |
Second Address | New York, NY 10029-6500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2009 |
Last Update Date | 28/10/2014 |