Rivers, Mary C
Rivers, Mary C is an individual health care provider with primary practice located at 2365 Clinton Ave S Suite 200, Rochester NY 14618-2645. She recently has only one registered license in Nursing Service Providers / Otorhinolaryngology & Head-Neck, which is considered as her primary health care specialty. Rivers, Mary C can be contacted via phone (585) 758-5700.Contact Information
Primary practice address
2365 Clinton Ave S Suite 200
Rochester NY 14618-2645
Phone: (585) 758-5700
Fax: (585) 758-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Otorhinolaryngology & Head-Neck | 163WX0601X | F330916 | New York |
Profile Details
| NPI number | 1902832165 |
|---|---|
| LBN Legal business name | Rivers, Mary C |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 17th, 2011 - about 13 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 | 1902832165 | NPPES |
| New York | Other | P019330916 | BLUE CHOICE |
| New York | MEDICAID | 02430495 | BLUE CHOICE |
| New York | Other | CW109237 | BLUE CHOICE |
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