Kenneth David Rivera
Kenneth David Rivera is a Contractor in Nyack, New York. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
197 Sickles Ave Apt B11Nyack, NY 10960-1810
Phone: (845) 988-6303
Fax: (845) 480-5567
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Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1609826155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 197 Sickles Ave, Apt. B11, Nyack, NY 10960-1810 |
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