Individual
CARMEN IVETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3375 PARK AVE STE 4000, WANTAGH, NY 11793-3799
(516) 754-3332
(516) 221-4709
Mailing address
605 HUGHES ST, BELLMORE, NY 11710-4004
(516) 754-3332
(516) 221-4709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071195
NY
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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