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1255111431
JORGE RIVERA
BROOKLYN, NY
NPI
1255111431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 38438)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
JORGE RIVERA CASAC
189-191 SOUTH 2ND ST,
BROOKLYN, NY 11211
Phone number: 718-384-6400
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Mailing Address
JORGE RIVERA CASAC
311 E 175TH ST
BRONX, NY 10457-5859
Phone number: 718-960-7522
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