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1710491147
PEDRO RIVERA
CARMEL, NY
NPI
1710491147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 9903)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
PEDRO RIVERA CASAC 2
21 OLD ROUTE 6
CARMEL, NY 10512-2107
Phone number: 845-225-5202
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Mailing Address
PEDRO RIVERA CASAC 2
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number: 518-952-8408
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