Rivera, Ralph M

Rivera, Ralph M is an sole proprietor health care provider with primary practice located at 263 Port Richmond Ave , Staten Island NY 10302-1704. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Rivera, Ralph M can be contacted via phone (718) 981-8117.

Contact Information

Primary practice address
263 Port Richmond Ave Staten Island NY 10302-1704
Phone: (718) 981-8117
Fax: (718) 981-9344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24694 New York

Profile Details

NPI number 1376813360
LBN Legal business name Rivera, Ralph M
Credentials CASACT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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