JORGE RIVERA

STATEN ISLAND, NY
NPI1609032754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  CASAC)
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
MR. JORGE RIVERA CASAC
1688 VICTORY BLVD
STATEN ISLAND, NY 10314-3533
Phone number: 718-447-5700
Mailing Address
MR. JORGE RIVERA CASAC
1688 VICTORY BLVD
STATEN ISLAND, NY 10314-3533
Phone number: 718-447-5700
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