Healthcare Provider Details

I. General information

NPI: 1649263336
Provider Name (Legal Business Name): HOWARD EUGENE RIFKIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 12/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 CENTRAL AVE
CEDARHURST NY
11516-2320
US

IV. Provider business mailing address

PO BOX 378
CEDARHURST NY
11516-0378
US

V. Phone/Fax

Practice location:
  • Phone: 516-791-1900
  • Fax: 516-374-4749
Mailing address:
  • Phone: 516-791-1900
  • Fax: 516-374-4749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number086129
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: