Provider Demographics
NPI:1205947579
Name:RZHAVINSKY, RITA
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:RZHAVINSKY
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 1:200 WINSTON DR
Mailing Address - Street 2:APT. 920
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3235
Mailing Address - Country:US
Mailing Address - Phone:201-969-8998
Mailing Address - Fax:
Practice Address - Street 1:26-01 PELLACK DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3723
Practice Address - Country:US
Practice Address - Phone:201-791-9340
Practice Address - Fax:201-791-9481
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00015400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist