Organization
N L RIVERA-DE JESUS, MSED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADIA L RIVERA-DE JESUS MSED (TEACHER)
(646) 287-4706
Entity
Organization
Contact information
Practice address
1823 MADISON ST, 10, RIDGEWOOD, NY 11385-3750
(646) 287-4706
Mailing address
1823 MADISON ST, 10, RIDGEWOOD, NY 11385-3750
(646) 287-4706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
694583
NY
Other
Enumeration date
02/24/2017
Last updated
02/28/2017
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