Individual
MRS. AIDA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 OAK ST, 2ND FLOOR, COPIAGUE, NY 11726-3111
(631) 257-5173
Mailing address
37 3RD AVE, CENTRAL ISLIP, NY 11722-3007
(631) 524-1323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
084853
NY
Other
Enumeration date
12/21/2011
Last updated
02/06/2017
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