RALPH M RIVERA

STATEN ISLAND, NY
NPI1376813360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  24694)
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
Mr. RALPH M RIVERA CASACT
263 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1704
Phone number: 718-981-8117
Mailing Address
Mr. RALPH M RIVERA CASACT
263 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1704
Phone number: 718-981-8117