Rivera, Rene

Rivera, Rene is an individual health care provider with primary practice located at 3708 91St St Ste 300 , Jackson Heights NY 11372-7961. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rivera, Rene can be contacted via phone (718) 779-2263.

Contact Information

Primary practice address
3708 91St St Ste 300 Jackson Heights NY 11372-7961
Phone: (718) 779-2263
Fax: (718) 277-0822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 084687 New York

Profile Details

NPI number 1669723375
LBN Legal business name Rivera, Rene
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2012
Last updated Oct 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669723375 NPPES
New York MEDICAID 47-4278777

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