Individual
JULISSA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 NEW JERSEY AVE, BROOKLYN, NY 11207-4171
(718) 566-0631
Mailing address
427 NEW JERSEY AVE, BROOKLYN, NY 11207-4171
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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