Individual
RIVKAH MODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 E 13TH ST, LAKEWOOD, NJ 08701-1913
(347) 893-0661
Mailing address
39 E 13TH ST, LAKEWOOD, NJ 08701-1913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1227522
NY
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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