Individual
ROBERT CHARLES RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
(845) 561-3913
Mailing address
121 GRAND AVE, MIDDLETOWN, NY 10940-3803
(845) 518-5567
(845) 561-3913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35037
NY
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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