Rivera, Melvin
Rivera, Melvin is an individual health care provider with primary practice located at 681A Seneca Ave , Ridgewood NY 11385-9301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rivera, Melvin can be contacted via phone (718) 418-4527.Contact Information
Primary practice address
681A Seneca Ave
Ridgewood NY 11385-9301
Phone: (718) 418-4527
Fax: (718) 418-4975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0498331 | New York |
Profile Details
| NPI number | 1598809857 |
|---|---|
| LBN Legal business name | Rivera, Melvin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Mar 24th, 2008 - about 17 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 | 1598809857 | NPPES |
| New York | Other | 9176945 | DORAL |
| New York | MEDICAID | 02502550 | DORAL |
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