| Lydia Rabinowich Md Pc | |
|
1250 Waters Pl Suite 1203 Bronx NY 10461-2720 | |
| (718) 409-4044 | |
| (718) 792-6515 |
| Full Name | Lydia Rabinowich Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1250 Waters Pl, Bronx, New York |
| Authorized Official Name and Position | Lydia Rabinowich (PRESIDENT) |
| Authorized Official Contact | 7184094044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Rabinowich Md Pc 1250 Waters Pl Suite 1203 Bronx NY 10461-2720 Ph: (718) 409-4044 | Lydia Rabinowich Md Pc 1250 Waters Pl Suite 1203 Bronx NY 10461-2720 Ph: (718) 409-4044 |
| NPI Number | 1356615702 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 03/05/2012 |
| Medicare PECOS PAC ID | 6406015783 |
|---|---|
| Medicare Enrollment ID | O20120306000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356615702 | NPI | - | NPPES |
| 01111095 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Lydia Rabinowich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003803305 PECOS PAC ID: 7214196591 Enrollment ID: I20120308000586 |
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