| Jerold Rivers, | |
|
770 Grand Blvd, Deer Park, NY 11729-5750 | |
| (631) 392-4357 | |
| Not Available |
| Full Name | Jerold Rivers |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 770 Grand Blvd, Deer Park, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972351294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerold Rivers, 332 Holbrook Rd, Lake Ronkonkoma, NY 11779-1815 Ph: (631) 504-7672 | Jerold Rivers, 770 Grand Blvd, Deer Park, NY 11729-5750 Ph: (631) 392-4357 |
Wilfredo Male Correa, CRPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Grand Blvd Ste 17, Deer Park, NY 11729 Phone: 631-392-4357 | |
Nicolette Zarcone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Grand Blvd, Deer Park, NY 11729 Phone: 631-392-4357 | |
Joseph Del Valle, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Grand Blvd, Deer Park, NY 11729 Phone: 631-392-4357 | |
Susan Zaleski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Grand Blvd, Deer Park, NY 11729 Phone: 631-392-4357 Fax: 631-392-4358 | |
Gerald Mcclary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Grand Blvd, Deer Park, NY 11729 Phone: 631-392-4357 Fax: 631-392-4358 | |
Katherine Ambrosino, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Deer Park Ave, Deer Park, NY 11729 Phone: 917-723-9875 | |
Sarah Elizabeth Moyer, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Grand Blvd Ste 17, Deer Park, NY 11729 Phone: 585-362-1939 |