Individual
LUIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 E 108TH ST, BROOKLYN, NY 11236-2936
(718) 306-2392
Mailing address
759 E 108TH ST, BROOKLYN, NY 11236-2936
(718) 306-2392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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