Provider Demographics
NPI:1154020717
Name:FRIEDMAN, RIVKA
Entity type:Individual
Prefix:MS
First Name:RIVKA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BARTENURA RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2084
Mailing Address - Country:US
Mailing Address - Phone:848-220-6157
Mailing Address - Fax:800-557-3140
Practice Address - Street 1:10 BARTENURA RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2084
Practice Address - Country:US
Practice Address - Phone:848-220-6157
Practice Address - Fax:800-557-3140
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment