Brandon Luis Rivera
Brandon Luis Rivera is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
259 1st StMineola, NY 11501-3957
Phone: (516) 663-0333
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1215723150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2025 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
| Mailing address | 7133 66th Pl, Glendale, NY 11385-7047 |
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