Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 249977 | NY |
NPI | 1013191204 |
---|---|
Provider Name | Dr. Morgan Erica Rabach |
First Address | New York, NY 10003-4377 |
Second Address | New York, NY 10003-4377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 06/06/2017 |