Healthcare Provider Details

I. General information

NPI: 1326644550
Provider Name (Legal Business Name): RIVKA FEIGENSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 ATLANTIC AVE STE 201
BROOKLYN NY
11238-7663
US

IV. Provider business mailing address

815 ATLANTIC AVE STE 201
BROOKLYN NY
11238-7663
US

V. Phone/Fax

Practice location:
  • Phone: 718-635-5350
  • Fax: 718-635-5358
Mailing address:
  • Phone: 718-635-5350
  • Fax: 718-635-5358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number028969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: