Provider Demographics
NPI:1003614728
Name:ALEXANDRE, RIVELINE
Entity type:Individual
Prefix:
First Name:RIVELINE
Middle Name:
Last Name:ALEXANDRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 PARK PL APT 4F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3116
Mailing Address - Country:US
Mailing Address - Phone:718-810-5968
Mailing Address - Fax:
Practice Address - Street 1:1492 PARK PL APT 4F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3116
Practice Address - Country:US
Practice Address - Phone:718-810-5968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYASD1624374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula