Individual
DANIEL J. RIFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
Mailing address
6611 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 296-3965
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
92-125
NM
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
92-125
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00003845
—
NM
Enumeration date
02/15/2006
Last updated
01/23/2018
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