Most Relevant Information
Provider Data
| NPI Number: | 1003182635 |
| Provider Name: | LOIDA LUISA REYES-RIVERA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 075211 |
Most Important Dates
| Enumeration Date: | 03/28/2012 |
| Last Updated: | 03/28/2012 |
Provider Practice Location
1650 GRAND CONCOURSE AVE
BRONX
NY
10457
Practice Location Phone/Fax
| Phone: | 7185185041 |
| Fax: |
Provider Mailing Location
1650 GRAND CONCOURSE
BRONX
NY
104577606
Provider Mailing Phone/Fax
| Phone: | 1718518504 |
| Fax: |