Provider Demographics
NPI:1659793438
Name:HOROWITZ, RIFKA (MS)
Entity Type:Individual
Prefix:MRS
First Name:RIFKA
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:RIFKA
Other - Middle Name:
Other - Last Name:HOROWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MS
Mailing Address - Street 1:22 WEBSTER AVE APT 6B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230
Mailing Address - Country:US
Mailing Address - Phone:347-581-7954
Mailing Address - Fax:
Practice Address - Street 1:22 WEBSTER AVE APT 6B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1030
Practice Address - Country:US
Practice Address - Phone:347-581-7954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY680402121174400000X
NY680401121174400000X
NY680501121174400000X
NY680403121174400000X
NY791882131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist