Individual
MR. RALPH M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASACT
Contact information
Practice address
263 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1704
(718) 981-8117
(718) 981-9344
Mailing address
263 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1704
(718) 981-8117
(718) 981-9344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24694
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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