Jorge Luis Rivera Agosto, JD, MS
Clinical Ethicist in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1326664350
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1326664350
- Entity type
- Individual (NPI-1)
- Name
- Jorge Luis Rivera Agosto
- Credential
- JD, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2020
- Certification date
- Jun 25, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174V00000X | Clinical Ethicist | – | – | Yes |
Practice location
27005 76th AveNew Hyde Park, NY 11040-1402
Phone 718-470-7000
Mailing address
4310 53rd St Apt 1aWoodside, NY 11377-4602
Phone 917-806-5393
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