Individual
MR. GREGORY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
215 IDA DR, POINT PLEASANT BORO, NJ 08742-2124
(201) 522-6812
Mailing address
215 IDA DR, POINT PLEASANT BORO, NJ 08742-2124
(201) 522-6812
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
536239
EMT
NJ
Enumeration date
02/09/2018
Last updated
02/09/2018
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