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NPI Code Detail

MEDICARE: MRS. RIVKIE PINKOVICS M.S.

MEDICARE: MRS. RIVKIE PINKOVICS M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1497198923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RIVKIE PINKOVICS M.S.
Provider Business Mailing Address
First Line : 945 RIVER AVE STE 201
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5675
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 945 RIVER AVE STE 201
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5675
Country : US
Telephone Number : 718-686-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2013
Last Update Date : 10/29/2018

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