Rivera, Dina Marie

Rivera, Dina Marie is an individual health care provider with primary practice located at 4199 Jericho Tpke , East Northport NY 11731-6240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rivera, Dina Marie can be contacted via phone (631) 238-3066.

Contact Information

Primary practice address
4199 Jericho Tpke East Northport NY 11731-6240
Phone: (631) 238-3066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010462 New York

Profile Details

NPI number 1245609338
LBN Legal business name Rivera, Dina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Dec 29th, 2015 - about 10 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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