| NPI | 1396233664 |
|---|---|
| Former Legal Business Name | DR. MARIOLA RIVERA PODIATRY, PLLC |
| Entity Type | Organization |
| Authorized Contact | MARIOLA RIVERA MORELL President 914-325-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: NY 006721) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |