| Doctor Name: | LUCY RIVILIS |
| NPI Number: | 1225471568 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 26NJ00429600 |
| Business Practice Address: | 42 Coleridge Dr Marlboro, NJ - 077462146 |
| Business Phone Number: | 7328329878 |
| Business Fax Number: | |
| Mailing Address: | 42 Coleridge Dr, MARLBORO |
| State: | NJ |
| Postal Code: | 077462146 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 26NJ00429600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |