National Provider Identifier

Jose Rivera

Jose Rivera is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 325-5100.

NPI 1295146652Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1295146652
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
May 19, 2014
Last Updated
May 19, 2014

Practice Location

  • 360 East Ave
  • Rochester, NY 14604

Phone: (585) 325-5100

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1295146652
Entity Type
Individual
Last Name
Rivera
First Name
Jose
Mailing Street Address
360 East Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14604
Mailing Country
US
Mailing Phone
(585) 325-5100
Mailing Fax
(585) 325-5154
Practice Street Address
360 East Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14604
Practice Country
US
Practice Phone
(585) 325-5100
Practice Fax
(585) 325-5154
Enumeration Date
May 19, 2014
Last Updated
May 19, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
1073614533 (NY)