Rivera, Lisa Jan
Rivera, Lisa Jan is an sole proprietor health care provider with primary practice located at 17 W Merrick Rd , Freeport NY 11520-3873. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rivera, Lisa Jan can be contacted via phone (917) 257-5880.Contact Information
Primary practice address
17 W Merrick Rd
Freeport NY 11520-3873
Phone: (917) 257-5880
Fax: (516) 868-3374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RNY068869 | New York |
Profile Details
| NPI number | 1780675868 |
|---|---|
| LBN Legal business name | Rivera, Lisa Jan |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jan 13th, 2011 - 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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