Individual
SANDRA I RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(718) 230-1379
(718) 638-1628
Mailing address
493 NOSTRAND AVE, BROOKLYN, NY 11216-5117
(718) 230-1379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33569
NY
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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