| Doctor Name: | MR. STEVEN RIVERA |
| NPI Number: | 1053505032 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP |
| License Number: | 304499 |
| Business Practice Address: | 408 Read Ave Tuckahoe, NY - 107071656 |
| Business Phone Number: | 9149806055 |
| Business Fax Number: | |
| Mailing Address: | 408 Read Ave, TUCKAHOE |
| State: | NY |
| Postal Code: | 107071656 |
| Phone Number: | 9149806055 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2007 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 304499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |