Rivera, Kelly Leslie

Rivera, Kelly Leslie is an individual health care provider with primary practice located at 225 Broadhollow Rd Ste 402 , Melville NY 11747-4899. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Rivera, Kelly Leslie can be contacted via phone (631) 385-7780.

Contact Information

Primary practice address
225 Broadhollow Rd Ste 402 Melville NY 11747-4899
Phone: (631) 385-7780
Fax: (631) 385-7795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 0119008973 Virginia

Profile Details

NPI number 1497320253
LBN Legal business name Rivera, Kelly Leslie
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2021
Last updated May 24th, 2021 - about 4 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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