Provider Demographics
NPI:1518413145
Name:ZAGER, RIVKA LEAH (MA)
Entity Type:Individual
Prefix:MRS
First Name:RIVKA LEAH
Middle Name:
Last Name:ZAGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:RIVKA LEAH
Other - Middle Name:
Other - Last Name:YAVNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:12 MENOCKER ROAD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952
Mailing Address - Country:US
Mailing Address - Phone:845-659-6873
Mailing Address - Fax:
Practice Address - Street 1:12 MENOCKER RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-4912
Practice Address - Country:US
Practice Address - Phone:845-659-6873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3598137174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist