SearchNew York101YA0400X

Jorge Rivera, CASAC

NPI 1609032754 · on the registry since 2008

Practice

Address
1688 Victory Blvd
Staten Island, NY 10314
Phone
(718) 447-5700
Fax
(718) 442-8945
Organisation at this address
Bridge Back To Life, Inc.
Bridge Back To Life, Inc.
Bridge Back To Life Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York