Individual
LORELL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 297-8000
(718) 262-8228
Mailing address
11515 SUTPHIN BLVD, JAMAICA, NY 11434-1020
(718) 297-8000
(718) 262-8228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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