Individual
DR. JO ANN M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1122 PELHAM PARKWAY SOUTH, BRONX, NY 10461-1027
(718) 829-0652
(718) 228-0136
Mailing address
1122 PELHAM PARKWAY SOUTH, BRONX, NY 10461-1027
(718) 829-0652
(718) 228-0136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021342
GHC NYS EMPIRE
—
01
—
00601487001
UNITED HEALTHCARE
—
01
—
221852
MANAGED HEALTH NETWORK
—
01
—
32332
UBH
—
Enumeration date
11/15/2006
Last updated
10/13/2010
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