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NPI Code Detail

MEDICARE: SIMA RIVLIN

MEDICARE:   SIMA  RIVLIN
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1780092205
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMA RIVLIN
Provider Business Mailing Address
First Line : 1467 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1467 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6609
Country : US
Telephone Number : 917-406-9190
Fax Number : 718-627-8333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ SIMA RIVLIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.