Individual
JENNIFER INEZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1854 HYLAN BLVD STE 2, STATEN ISLAND, NY 10305-2119
(929) 625-0158
Mailing address
2767 ATLANTIC AVE APT 402, BROOKLYN, NY 11207-4289
(929) 625-0158
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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