Rivera, Carmen B
Rivera, Carmen B is an sole proprietor health care provider with primary practice located at 110 Jericho Tpke Suite 102, Floral Park NY 11001-2019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rivera, Carmen B can be contacted via phone (516) 488-8169.Contact Information
Primary practice address
110 Jericho Tpke Suite 102
Floral Park NY 11001-2019
Phone: (516) 488-8169
Fax: (516) 488-4720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R028895 | New York |
Profile Details
| NPI number | 1588728463 |
|---|---|
| LBN Legal business name | Rivera, Carmen B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588728463 | NPPES |
| New York | Other | 176997 | MHN |
| New York | Other | 47276336 | MHN |
| New York | Other | 6268860 | MHN |
| New York | Other | N5980 | MHN |
| New York | Other | 7401098 | MHN |
| New York | Other | P1611418 | MHN |
| New York | Other | N113587 | MHN |
| New York | Other | 5796035 | MHN |
| New York | Other | 090490 | MHN |
| New York | Other | RC8895 | MHN |
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