Provider Demographics
NPI:1427274596
Name:GREENBERG, RIVKA BEKERMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:RIVKA
Middle Name:BEKERMAN
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 W 57TH ST
Mailing Address - Street 2:3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3758
Mailing Address - Country:US
Mailing Address - Phone:212-459-9060
Mailing Address - Fax:212-246-2591
Practice Address - Street 1:350 W 57TH ST
Practice Address - Street 2:3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3758
Practice Address - Country:US
Practice Address - Phone:212-459-9060
Practice Address - Fax:212-246-2591
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8334103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)