Provider Demographics
NPI:1760637235
Name:RIFKIND, SUSAN (MS)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:RIFKIND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 LIDO LN
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1522
Mailing Address - Country:US
Mailing Address - Phone:516-374-5236
Mailing Address - Fax:
Practice Address - Street 1:565 LIDO LN
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1522
Practice Address - Country:US
Practice Address - Phone:516-374-5236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist