Mr. Johnny Joseph Rivera Jr.
Mr. Johnny Joseph Rivera Jr. is an Early Intervention Provider Agency in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
520 Ellsworth AveBronx, NY 10465-1755
Phone: (646) 963-2013
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Early Intervention Provider Agency | Taxonomy 252Y00000X |
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1962288100 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 5, 2023 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
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