Rifka Stark, MA, CF-SLP

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI 1992348486 · NPPES record last updated Oct 28, 2019

Key facts

NPI
1992348486
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1206 Lydig Ave Rear
Bronx, NY 10461-1715
Phone
(310) 867-3043
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1206 Lydig Ave Rear
Bronx, NY 10461-1715

Mailing address

1206 Lydig Ave Rear
Bronx, NY 10461-1715
Phone (310) 867-3043

Other providers in Bronx, NY

All providers in Bronx, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.