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NPI Code Detail

MEDICARE: YAHAIRA RIVERA

MEDICARE:   YAHAIRA  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
1164W00000XLicensed Practical Nurse327367NY

General Provider Information

NPI Number : 1306507686
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAHAIRA RIVERA
Provider Business Mailing Address
First Line : 33 BRASSER DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-4408
Country : US
Telephone Number : 585-520-7225
Fax Number :
Provider Business Practice Location Address
First Line : 33 BRASSER DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-4408
Country : US
Telephone Number : 585-520-7225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2022
Last Update Date : 01/07/2022

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Directions to “ YAHAIRA RIVERA ” Practice Location

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