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1205326774
BRYAN RIVERA
ASTORIA, NY
NPI
1205326774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 041551-1)
Enumeration Date
2018-05-10
Last Update Date
2024-05-01
Business Address
BRYAN RIVERA
2322 30TH AVE
ASTORIA, NY 11102-3255
Phone number: 718-545-0700
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Mailing Address
BRYAN RIVERA
6805 FRESH POND RD
RIDGEWOOD, NY 11385-5200
Phone number: 718-456-2545
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