Most Relevant Information
Provider Data
| NPI Number: | 1003054487 |
| Provider Name: | IRIS RIVERA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2009 |
| Last Updated: | 01/23/2009 |
Provider Practice Location
401 E 167TH ST
BRONX
NY
104564037
Practice Location Phone/Fax
| Phone: | 7185797313 |
| Fax: | 7185797356 |
Provider Mailing Location
4172 CONASHAUGH LK
MILFORD
PA
183379703
Provider Mailing Phone/Fax
| Phone: | 7185797313 |
| Fax: | 7185797356 |