Provider Demographics
NPI:1942238720
Name:RIVERA-NUNEZ, YASMIN (ANP)
Entity Type:Individual
Prefix:MRS
First Name:YASMIN
Middle Name:
Last Name:RIVERA-NUNEZ
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2700
Mailing Address - Country:US
Mailing Address - Phone:516-593-3535
Mailing Address - Fax:
Practice Address - Street 1:185 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2700
Practice Address - Country:US
Practice Address - Phone:516-593-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304231207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine