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Individual
IVAN PAUL RAPPAPORT
Active
Individual
IVAN PAUL RAPPAPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000471896001
BLUE SHIELD NORTHEASTERN
NY
01
—
07112
MVP HEALTH PLAN
NY
01
—
08U281
EMPIRE HEALTHCHOICE
NY
01
—
10001682
CDPHP
NY
Enumeration date
02/09/2006
Last updated
09/21/2018
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