Organization
ASYA RIVINSON, LCSW, PC
Active
Organization
ASYA RIVINSON, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASYA RIVINSON LCSW (OWNER)
(800) 870-6244
Entity
Organization
Contact information
Practice address
697 VALLEY ST STE B1, MAPLEWOOD, NJ 07040-2645
(800) 870-6244
Mailing address
96 ELM ST, MILLBURN, NJ 07041-2112
(800) 870-6244
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
079083
NY
261Q00000X
Clinic/Center
Primary
44SC05647900
NJ
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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