Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 150901 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA06049900 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 47119 | CT |
NPI | 1063523017 |
---|---|
Provider Name | Dr. Bernard A Rawlins |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008063241 | (05) | CT |
01590683 | (05) | NY |
F40797 | (02) | NY |