Rivers, Mary C

Rivers, Mary C is an individual health care provider with primary practice located at 2365 Clinton Ave S Suite 200, Rochester NY 14618-2645. She recently has only one registered license in Nursing Service Providers / Otorhinolaryngology & Head-Neck, which is considered as her primary health care specialty. Rivers, Mary C can be contacted via phone (585) 758-5700.

Contact Information

Primary practice address
2365 Clinton Ave S Suite 200 Rochester NY 14618-2645
Phone: (585) 758-5700
Fax: (585) 758-1293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Otorhinolaryngology & Head-Neck 163WX0601X F330916 New York

Profile Details

NPI number 1902832165
LBN Legal business name Rivers, Mary C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 17th, 2011 - about 15 years 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 1902832165 NPPES
New York Other P019330916 BLUE CHOICE
New York MEDICAID 02430495 BLUE CHOICE
New York Other CW109237 BLUE CHOICE

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