Individual
DR. KENNETH RIVLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, 3959 BROADWAY, NEW YORK, NY 10032
(212) 304-7297
(212) 544-1974
Mailing address
500 E 77TH ST, NEW YORK, NY 10162-0010
(212) 304-7297
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
190781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02235463
—
NY
Enumeration date
02/02/2006
Last updated
07/08/2007
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