Rivera, Amanda Tracy

Rivera, Amanda Tracy is an individual health care provider with primary practice located at 109 W 27Th St Rm 5S , New York NY 10001-6208. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rivera, Amanda Tracy can be contacted via phone (833) 351-8255.

Contact Information

Primary practice address
109 W 27Th St Rm 5S New York NY 10001-6208
Phone: (833) 351-8255
Fax: (888) 815-3583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 676126 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402924 New York

Profile Details

NPI number 1568973618
LBN Legal business name Rivera, Amanda Tracy
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Mar 3rd, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568973618 NPPES
New York Other 676126 REGISTERED PROFESSIONAL NURSE LICENCE
New York Other F402924 REGISTERED PROFESSIONAL NURSE LICENCE

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