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NPI Code Detail

MEDICARE: DR. SHARON MIRIAM RAIS M.D. F.A.C.O.G.

MEDICARE: DR. SHARON MIRIAM RAIS M.D. F.A.C.O.G.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist148412NY

General Provider Information

NPI Number : 1639160401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON MIRIAM RAIS M.D. F.A.C.O.G.
Provider Business Mailing Address
First Line : 5507 11TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4136
Country : US
Telephone Number : 718-854-7385
Fax Number : 718-854-9197
Provider Business Practice Location Address
First Line : 5507 11TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4136
Country : US
Telephone Number : 718-854-7385
Fax Number : 718-854-9197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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