Provider Demographics
NPI:1083042360
Name:TENENBAUM-PRECEL, RIVKA (PHD)
Entity Type:Individual
Prefix:
First Name:RIVKA
Middle Name:
Last Name:TENENBAUM-PRECEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 67TH ST APT 49G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5952
Mailing Address - Country:US
Mailing Address - Phone:917-733-7408
Mailing Address - Fax:
Practice Address - Street 1:260 MADISON AVE STE 8089
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2401
Practice Address - Country:US
Practice Address - Phone:917-733-7408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging