Provider Demographics
NPI:1861562902
Name:SANCHEZ-RIVERA, MARIBELL (ACUPUNCTURIST, LPTA)
Entity type:Individual
Prefix:MRS
First Name:MARIBELL
Middle Name:
Last Name:SANCHEZ-RIVERA
Suffix:
Gender:F
Credentials:ACUPUNCTURIST, LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9231 57TH AVENUE
Mailing Address - Street 2:#1K
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-760-0651
Mailing Address - Fax:
Practice Address - Street 1:65 BROADWAY STE 906
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-2530
Practice Address - Country:US
Practice Address - Phone:212-379-6414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006409171100000X
NY0023971225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant