Organization
NEW YORK STATE PSYCHIATRIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERIBERTO RIVERA CERTIFIED (OCCUPATIONAL THERAPY ASSISTANT)
(164) 662-3779
Entity
Organization
Contact information
Practice address
504 W 136TH ST, APT 6-C, NEW YORK, NY 10031-7908
(164) 662-3779
Mailing address
504 W 136TH ST, APT 6-C, NEW YORK, NY 10031-7908
(164) 662-3779
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
006354-1
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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