National Provider Identifier

Brendaly Rivera, OWNER

Brendaly Rivera, OWNER is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Buffalo, NY and a listed phone number of (716) 423-4080.

NPI 1104402049Buffalo, NYNon-emergency Medical Transport (VAN)

Profile Overview

NPI
1104402049
Provider Type
Individual
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
March 22, 2021
Last Updated
March 22, 2021

Practice Location

  • 15 Chadduck Ave
  • Buffalo, NY 14207-1555

Phone: (716) 423-4080

Specialties

  • Non-emergency Medical Transport (VAN) (343900000X)
Full Record
NPI
1104402049
Entity Type
Individual
Last Name
Rivera
First Name
Brendaly
Credential
OWNER
Mailing Street Address
15 Chadduck Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1555
Mailing Country
US
Mailing Phone
(716) 423-4080
Practice Street Address
15 Chadduck Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1555
Practice Country
US
Practice Phone
(716) 423-4080
Enumeration Date
March 22, 2021
Last Updated
March 22, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
March 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Non-emergency Medical Transport (VAN) (343900000X)
Other Identifiers
937250616 (NY, Driver License)