Individual
DR. IRA RABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 RIVERSIDE DR APT 15H, NEW YORK, NY 10024-1616
(212) 877-7019
Mailing address
175 RIVERSIDE DR APT 15H, NEW YORK, NY 10024-1616
(212) 877-7019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005275564
—
NY
Enumeration date
09/29/2010
Last updated
09/29/2010
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