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NPI Code Detail

MEDICARE: DR. RONEL RIVKIN PHARM.D.

MEDICARE: DR. RONEL RIVKIN PHARM.D.
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
1183500000XPharmacist066591NY

General Provider Information

NPI Number : 1497365068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONEL RIVKIN PHARM.D.
Provider Business Mailing Address
First Line : 2125 BROADWAY
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11106-4532
Country : US
Telephone Number : 718-717-3000
Fax Number : 718-691-6835
Provider Business Practice Location Address
First Line : 2125 BROADWAY
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11106-4532
Country : US
Telephone Number : 718-717-3000
Fax Number : 718-691-6835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2020
Last Update Date : 05/20/2026

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