Provider Demographics
NPI:1043587868
Name:MINKOFF, RIVKA (MA ED)
Entity Type:Individual
Prefix:MS
First Name:RIVKA
Middle Name:
Last Name:MINKOFF
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 CROWN ST
Mailing Address - Street 2:APT. 509
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5393
Mailing Address - Country:US
Mailing Address - Phone:718-773-7623
Mailing Address - Fax:
Practice Address - Street 1:580 CROWN ST
Practice Address - Street 2:APT. 509
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5393
Practice Address - Country:US
Practice Address - Phone:718-773-7623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist