NPI 1053967521

Mia Ariel Rivarde

Practitioner Other Technician Plainview, NY

Practice location

Address: 255 Executive Dr STE Ll105, Plainview, NY 11803-1718
Phone: (516) 576-0962
Mailing address: 511 Decatur St APT 2, Brooklyn, NY 11233-1502

Registered specialties (2)

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in New York →

Specialist

Other Service Providers Taxonomy 174400000X

Other Specialist providers in New York →

Registry record

NPI: 1053967521
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2019
Record last updated: 12 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.