Individual
MRS. MICHELLE RIVKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
454 STEVENS AVE, RIDGEWOOD, NJ 07450-5437
(347) 583-0707
Mailing address
454 STEVENS AVE, RIDGEWOOD, NJ 07450-5437
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430919
NY
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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