Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 140499 | NY |
NPI | 1003803305 |
---|---|
Provider Name | Dr. Lydia Rabinowich |
First Address | Bronx, NY 10461-2720 |
Second Address | Bronx, NY 10461-2720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2005 |
Last Update Date | 02/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01111095 | (05) | NY |
B80353 | (02) | NY |