Rivera, Clara
Rivera, Clara is an sole proprietor health care provider with primary practice located at 11247 Queens Blvd Suite 106, Forest Hills NY 11375-7417. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Rivera, Clara can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 161107 | New York |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 161107 | New York |
Profile Details
| NPI number | 1205815339 |
|---|---|
| LBN Legal business name | Rivera, Clara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Feb 5th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205815339 | NPPES |
| New York | MEDICAID | 01055009 |
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