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NPI Code Detail

MEDICARE: DR. ELLIOT RIFKIN D.M.D.

MEDICARE:  DR. ELLIOT  RIFKIN  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry037430NY

General Provider Information

NPI Number : 1093830622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLIOT RIFKIN D.M.D.
Provider Business Mailing Address
First Line : 2 W 45TH ST
Second Line : SUITE 1008
City : NEW YORK
State : NY
Zip : 10036-4212
Country : US
Telephone Number : 212-944-2836
Fax Number : 212-944-9635
Provider Business Practice Location Address
First Line : 2 W 45TH ST
Second Line : SUITE 1008
City : NEW YORK
State : NY
Zip : 10036-4212
Country : US
Telephone Number : 212-944-2836
Fax Number : 212-944-9635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ELLIOT RIFKIN D.M.D.” Practice Location

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