Healthcare Provider Details

I. General information

NPI: 1558942540
Provider Name (Legal Business Name): ARIANNA LAMBERT RIOS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 CENTRAL AVE STE 201
FAR ROCKAWAY NY
11691-4002
US

IV. Provider business mailing address

1612 CENTRAL AVE STE 201
FAR ROCKAWAY NY
11691-4002
US

V. Phone/Fax

Practice location:
  • Phone: 718-395-3176
  • Fax: 718-395-3176
Mailing address:
  • Phone: 718-831-2755
  • Fax: 908-921-2165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357650
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1031216
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15028200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: