Provider Demographics
NPI:1407172505
Name:RIVERA, ERICA M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:M
Last Name:RIVERA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 E 118TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4687
Mailing Address - Country:US
Mailing Address - Phone:212-427-9160
Mailing Address - Fax:
Practice Address - Street 1:61 W 62ND ST
Practice Address - Street 2:SUITE 4G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7015
Practice Address - Country:US
Practice Address - Phone:917-674-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional