JORGE RIVERA

BROOKLYN, NY
NPI1255111431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  38438)
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
JORGE RIVERA CASAC
189-191 SOUTH 2ND ST,
BROOKLYN, NY 11211
Phone number: 718-384-6400
Mailing Address
JORGE RIVERA CASAC
311 E 175TH ST
BRONX, NY 10457-5859
Phone number: 718-960-7522