Individual
JORGE RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
189-191 SOUTH 2ND ST,, BROOKLYN, NY 11211
(718) 384-6400
(718) 388-1651
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7522
(718) 583-6439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38438
NY
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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