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Individual

GIDEON RAPAPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1098 LIBERTY AVE, BROOKLYN, NY 11208
(718) 647-7100
Mailing address
1098 LIBERTY AVE, BROOKLYN, NY 11208
(718) 647-7100

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
162989
NY
208000000X
Pediatrics Physician
Primary
162989
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00899716
NY
Enumeration date
09/06/2006
Last updated
03/27/2013
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