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1215255856
JUAN A RIVERA
BROOKLYN, NY
NPI
1215255856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 24114)
Enumeration Date
2010-05-06
Last Update Date
2010-05-06
Business Address
-- JUAN A RIVERA CASAC-T
1300 AVENUE P
BROOKLYN, NY 11229-1106
Phone number: 718-954-3800
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Mailing Address
-- JUAN A RIVERA CASAC-T
65 HILLSIDE AVE APT # 3F
NEW YORK, NY 10040-2327
Phone number: 646-746-1604
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