| Doctor Name: | GLORIA MARIA RIVERA |
| NPI Number: | 1063799021 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS |
| License Number: | 005978-1 |
| Business Practice Address: | 1 Carmans Rd Massapequa Park, NY - 117621438 |
| Business Phone Number: | 5166086200 |
| Business Fax Number: | |
| Mailing Address: | 1 Shelart St, PLAINVIEW |
| State: | NY |
| Postal Code: | 118031420 |
| Phone Number: | 5163493091 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2011 |
| NPI Last Update Date: | 11/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 005978-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |