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1992430904
TENNILLE RIVERA
MIDDLETOWN, NY
NPI
1992430904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F350261)
Enumeration Date
2022-07-22
Last Update Date
2022-09-28
Business Address
TENNILLE RIVERA FNP
95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941-7001
Phone number: 845-703-6999
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Mailing Address
TENNILLE RIVERA FNP
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941-4028
Phone number: 845-703-6999
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