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Contact Information

RAVYN N RIVERA, ADVANCED CASAC
4567 CROSSROADS PARKWAY
LIVERPOOL, NY13088
 Phone: 315-883-1589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RAVYN N RIVERA · (Female)

NPI Number 1184475527
Status Active
Credentials ADVANCED CASAC
Entity Individual
Enumeration date 04/01/2024
Last updated 04/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 38810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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