MEDICARE: RIM MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	173000000X	Legal Medicine
3	207Q00000X	Family Medicine Physician
4	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356489173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIM MEDICAL PC

Provider Business Mailing Address
First Line	:	2818 OCEAN AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3170
Country	:	US
Telephone Number	:	718-934-8484
Fax Number	:	718-934-4267

Provider Business Practice Location Address
First Line	:	2818 OCEAN AVE STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3170
Country	:	US
Telephone Number	:	718-934-8484
Fax Number	:	718-934-4267

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. MICHAEL RISKEVICH
Credential	:	M.D., D.O
Telephone Number	:	718-934-8484

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	09/27/2007

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Directions to “RIM MEDICAL PC ” Practice Location

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