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1811264690
DAVID FRANK RIVERA
RIDGEWOOD, NJ
NPI
1811264690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00346100)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
-- DAVID FRANK RIVERA FNP
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450-2726
Phone number: 201-447-8000
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Mailing Address
-- DAVID FRANK RIVERA FNP
25 JONES RD
WARWICK, NY 10990-2830
Phone number: 845-986-0919
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