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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205815339 NPPES
New York MEDICAID 01055009

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