Healthcare Provider Details

I. General information

NPI: 1649465519
Provider Name (Legal Business Name): ARTHUR RIFKIN, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 PLANDOME RD SUITE 106
MANHASSET NY
11030-1971
US

IV. Provider business mailing address

585 PLANDOME RD SUITE 106
MANHASSET NY
11030-1971
US

V. Phone/Fax

Practice location:
  • Phone: 516-456-6557
  • Fax: 516-487-8380
Mailing address:
  • Phone: 516-456-6557
  • Fax: 516-487-8380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number087722
License Number StateNY

VIII. Authorized Official

Name: ARTHUR RIFKIN RIFKIN
Title or Position: OWNER
Credential: MD
Phone: 516-456-6557