| Carmen M Rivera, Lcsw | |
|
104 Fulton Ave Child Med Grp Poughkeepsie NY 12603-2808 | |
| (302) 981-0912 | |
| (845) 765-2489 |
| Full Name | Carmen M Rivera, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 Fulton Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Carmen Milagros Rivera (PROPRIETOR) |
| Authorized Official Contact | 3029810912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen M Rivera, Lcsw 104 Fulton Ave Child Med Grp Poughkeepsie NY 12603-2808 Ph: (302) 981-0912 | Carmen M Rivera, Lcsw 104 Fulton Ave Child Med Grp Poughkeepsie NY 12603-2808 Ph: (302) 981-0912 |
| NPI Number | 1609178813 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609178813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 078405 (New York) | Primary |
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