Provider Demographics
NPI:1144428293
Name:RIVKIN, SARAH EDITH (MS, LAC, DIPL OM)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:EDITH
Last Name:RIVKIN
Suffix:
Gender:F
Credentials:MS, LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 7TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3487
Mailing Address - Country:US
Mailing Address - Phone:718-309-0432
Mailing Address - Fax:
Practice Address - Street 1:292 7TH ST APT A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3487
Practice Address - Country:US
Practice Address - Phone:718-309-0432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3276171100000X
NY003276171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist