Lisa Jan Rivera LCSW-R

NPI 1780675868 - Social Worker - 1041C0700X

NPI Details
NPI 1780675868
Gender Female
Enumeration Date 10/28/2005
Last Updated 01/13/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
17 W MERRICK RD
FREEPORT NY, 11520-3873, US
Phone (917) 257-5880
Fax (516) 868-3374
Business Location
872 BUCKLEY PL
WESTBURY NY, 11590-5810, US
Phone (917) 257-5880
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number RNY068869
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According to our database, Mrs. Lisa Jan Rivera LCSW-R NPI is 1780675868, taxonomy code is 1041C0700X and license number is RNY068869, license state is located at New York. Lisa Jan Rivera LCSW-R physically located at 17 W Merrick Rd, Freeport NY, 11520-3873. NPI Number Lisa Jan Rivera LCSW-R has the Individual type.

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1780675868 NPI number is provided on an as is basis without warranty of any kind. 1780675868 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Jan Rivera LCSW-R are for informational purposes only.