Rivera, Johnny Joseph

Rivera, Johnny Joseph is an sole proprietor health care provider with primary practice located at 520 Ellsworth Ave , Bronx NY 10465-1755. He recently has 3 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Agencies / Case Management, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Rivera, Johnny Joseph can be contacted via phone (646) 963-2013.

Contact Information

Primary practice address
520 Ellsworth Ave Bronx NY 10465-1755
Phone: (646) 963-2013
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / Case Management 251B00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1962288100
LBN Legal business name Rivera, Johnny Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2023
Last updated Sep 6th, 2023 - about last year

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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