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CLARA M. RIVERA PHYSICIAN PC NPI 1922088053


NPI Information

NPI: 1922088053
Provider Name: CLARA M. RIVERA PHYSICIAN PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
11247 QUEENS BLVD
SUITE 106
FOREST HILLS, NY
ZIP 11375
Phone: (718) 261-1759
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CLARA M. RIVERA PHYSICIAN PC is a specialist in Forest Hills, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLARA M. RIVERA PHYSICIAN PC NPI is 1922088053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11247 QUEENS BLVD
SUITE 106
FOREST HILLS, NY
ZIP 11375-417
Phone: (718) 261-1759

The provider's authorized official is Clara M Rivera .
The authorized official title is Sole Proprieter and has the following contact phone number (718) 261-1759.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist161107NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138F221MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
201055009MEDICAIDNEW YORK
3F08621MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.