Healthcare Provider Details

I. General information

NPI: 1316650153
Provider Name (Legal Business Name): RIVKY MENDLOWITS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 12/26/2022
Certification Date: 12/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHANA 1
JERUSALEM, ISRAEL ISRAEL
97707
IL

IV. Provider business mailing address

1644 58TH ST
BROOKLYN NY
11204-2118
US

V. Phone/Fax

Practice location:
  • Phone: 929-464-1857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: