Healthcare Provider Details

I. General information

NPI: 1912668179
Provider Name (Legal Business Name): RIVKA FLIGMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2022
Last Update Date: 03/11/2023
Certification Date: 03/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1352 RIVER AVE
LAKEWOOD NJ
08701-5646
US

IV. Provider business mailing address

1545 56 STREET
BROOKLYN NY
11219
US

V. Phone/Fax

Practice location:
  • Phone: 732-370-5100
  • Fax:
Mailing address:
  • Phone: 718-972-5921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF348660
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: