Rivera, Kenneth David

Rivera, Kenneth David is an sole proprietor health care provider with primary practice located at 197 Sickles Ave Apt. B11, Nyack NY 10960-1810. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Rivera, Kenneth David can be contacted via phone (845) 988-6303.

Contact Information

Primary practice address
197 Sickles Ave Apt. B11 Nyack NY 10960-1810
Phone: (845) 988-6303
Fax: (845) 480-5567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1609826155
LBN Legal business name Rivera, Kenneth David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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