Individual
DANIEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 SUNSET STRIP STE 302, SUCCASUNNA, NJ 07876-1362
(862) 707-2469
Mailing address
45 SANDRA LN, RANDOLPH, NJ 07869-1547
(862) 599-0867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL06989200
NJ
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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