| Frederic Rakowitz, M.D., Ph.d., PC | |
|
295 Northern Blvd Suite 208 Great Neck NY 11021-4701 | |
| (516) 482-4940 | |
| (516) 482-4913 |
| Full Name | Frederic Rakowitz, M.D., Ph.d., PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 295 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Frederic Rakowitz (PRESIDENT) |
| Authorized Official Contact | 5164824940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic Rakowitz, M.D., Ph.d., PC 295 Northern Boulevard Suite 208 Great Neck NY 11021 Ph: (516) 482-4940 | Frederic Rakowitz, M.D., Ph.d., PC 295 Northern Blvd Suite 208 Great Neck NY 11021-4701 Ph: (516) 482-4940 |
| NPI Number | 1467765685 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467765685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
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