Provider Demographics
NPI:1780707844
Name:HAR-EL, RIVI (PT, PHD)
Entity type:Individual
Prefix:
First Name:RIVI
Middle Name:
Last Name:HAR-EL
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E 61ST ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-8551
Mailing Address - Country:US
Mailing Address - Phone:212-486-3070
Mailing Address - Fax:212-486-3072
Practice Address - Street 1:170 E 61ST ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8551
Practice Address - Country:US
Practice Address - Phone:212-486-3070
Practice Address - Fax:212-486-3072
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ69121OtherBLUE CROSS BLUE SHIELD
NYP1541466OtherOXFORD
NYP1541466OtherOXFORD