Provider Demographics
NPI:1033666995
Name:BLUMENFELD, RIVKA DINA
Entity Type:Individual
Prefix:
First Name:RIVKA
Middle Name:DINA
Last Name:BLUMENFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 KEARSING PKWY APT G
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2231
Mailing Address - Country:US
Mailing Address - Phone:424-333-4878
Mailing Address - Fax:
Practice Address - Street 1:160 KEARSING PKWY APT G
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2231
Practice Address - Country:US
Practice Address - Phone:424-333-4878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist