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NPI Code Detail

MEDICARE: CHRISTOPHER RIVERA

MEDICARE:   CHRISTOPHER  RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse892094NY

General Provider Information

NPI Number : 1780514075
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER RIVERA
Provider Business Mailing Address
First Line : 7607 17TH AVE APT 7
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1167
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7607 17TH AVE APT 7
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1167
Country : US
Telephone Number : 646-346-4871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ CHRISTOPHER RIVERA ” Practice Location

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