Provider Demographics
NPI:1427042696
Name:TWERSKY-KENGMANA, REBECCA M (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:M
Last Name:TWERSKY-KENGMANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39 5TH AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4339
Mailing Address - Country:US
Mailing Address - Phone:212-228-4633
Mailing Address - Fax:917-546-2399
Practice Address - Street 1:400 W END AVE APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5751
Practice Address - Country:US
Practice Address - Phone:212-228-4633
Practice Address - Fax:917-546-2399
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2024-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2272632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry