Doctor Name: | DR. DENISA RIERA |
NPI Number: | 1356731244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 006688 |
Business Practice Address: | 13 Orange Ave Walden, NY - 125861826 |
Business Phone Number: | 2035649881 |
Business Fax Number: | |
Mailing Address: | 2409 Main St, BRIDGEPORT |
State: | CT |
Postal Code: | 066065324 |
Phone Number: | 2033346955 |
Fax Number: | 2033342851 |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 006688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |