Provider Demographics
NPI:1417591801
Name:ROSENBLATT, RIVKA (MS SLP)
Entity Type:Individual
Prefix:
First Name:RIVKA
Middle Name:
Last Name:ROSENBLATT
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:RIVKA
Other - Middle Name:
Other - Last Name:AHDUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1936 E 8TH ST APT 1R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3225
Mailing Address - Country:US
Mailing Address - Phone:718-650-9790
Mailing Address - Fax:
Practice Address - Street 1:3321 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5421
Practice Address - Country:US
Practice Address - Phone:718-531-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist