Individual
ANGELA RIVERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 662-4208
Mailing address
PO BOX 712, MASSAPEQUA PARK, NY 11762-0712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11264501
NY
Other
Enumeration date
09/30/2024
Last updated
06/26/2025
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