Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 105078 | NY |
Y | 111NI0900X | Internist | 105078 | NY |
N | 207RH0000X | Hematologist | 105078 | NY |
NPI | 1275525370 |
---|---|
Provider Name | Dr. Rorick T Rimash |
First Address | Latham, NY 12110-4029 |
Second Address | Latham, NY 12110-4029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00430539 | (05) | NY |
B77811 | (02) | NY |