Provider Demographics
NPI:1295108033
Name:RIVERA, EURIPIDES (LCSW)
Entity type:Individual
Prefix:MR
First Name:EURIPIDES
Middle Name:
Last Name:RIVERA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 CONRAD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6309
Mailing Address - Country:US
Mailing Address - Phone:929-275-1068
Mailing Address - Fax:
Practice Address - Street 1:47 CONRAD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6309
Practice Address - Country:US
Practice Address - Phone:929-275-1068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist