Individual
GEORGE JASON RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED.
Contact information
Practice address
821 PALMER RD, 2ND FLOOR, BRONXVILLE, NY 10708-3319
(917) 693-8705
Mailing address
821 PALMER RD, 2ND FLOOR, BRONXVILLE, NY 10708-3319
(917) 693-8705
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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