Individual
CLARA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1052 KELLY ST PH, BRONX, NY 10459-2851
(917) 995-6168
Mailing address
1052 KELLY ST PH, BRONX, NY 10459-2851
(917) 995-6168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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