EDWIN RIVERA

STATEN ISLAND, NY
NPI1144603713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- EDWIN RIVERA
181 MOSELY AVE
STATEN ISLAND, NY 10312-4163
Phone number: 971-439-5168
Mailing Address
-- EDWIN RIVERA
181 MOSELY AVE
STATEN ISLAND, NY 10312
Phone number: 917-439-5168
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