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Provider Information for 1841667755


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ROSARIO M LOPEZ-RIVERA LMSW


Sex: Female

NPI: 1841667755
Last Updated: 2015-08-26
Certification Date:

Details

NameValue
NPI1841667755
Enumeration Date2015-08-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 14 SLOSSON TER
STATEN ISLAND, NY 10301-2507
United States

Phone: 718-273-8409 | Fax:718-273-5265
 
Primary Practice Address 14 SLOSSON TER
STATEN ISLAND, NY 10301-2507
United States

Phone: 718-273-8409 | Fax:718-273-5265
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker NY093293