MEDICARE: RAM WESLEY RAPOPORT MD

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
1	2084P0800X	Psychiatry Physician	096899	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	096899-0B-CPN	OTHER	NY	WORKER'S COMPENSATION

General Provider Information

NPI Number	:	1760595854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAM WESLEY RAPOPORT MD

Provider Business Mailing Address
First Line	:	73 TOBEY CT
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-1859
Country	:	US
Telephone Number	:	585-383-0449
Fax Number	:	585-621-1456

Provider Business Practice Location Address
First Line	:	81 LAKE AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14608-1410
Country	:	US
Telephone Number	:	585-368-6900
Fax Number	:	585-368-6955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	03/30/2015

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Directions to “ RAM WESLEY RAPOPORT MD” Practice Location

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