Clara M. Rivera Physician Pc

LBN: Clara M. Rivera Physician Pc
Clara M. Rivera Physician Pc is an health care organization with primary practice located at 11247 Queens Blvd Suite 106, Forest Hills NY 11375-7417. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Clara M. Rivera Physician Pc can be contacted via phone (718) 261-1759, or through Rivera, Clara M via phone (718) 261-1759.

Contact Information

Primary practice address
11247 Queens Blvd Suite 106 Forest Hills NY 11375-7417
Phone: (718) 261-1759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Clara M
Phone: (718) 261-1759

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 161107 New York

Profile Details

NPI number 1922088053
LBN Legal business name Clara M. Rivera Physician Pc
DBA Doing business as
Authorized official Rivera, Clara M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Nov 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922088053 NPPES
New York MEDICAID 01055009

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