MEDICARE: REBECCA L SHIFFMAN 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	207V00000X	Obstetrics & Gynecology Physician	154753	NY
2	207VM0101X	Maternal & Fetal Medicine Physician	154753	NY

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	:	1811963176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA L SHIFFMAN MD

Provider Business Mailing Address
First Line	:	321 WASHINGTON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-3704
Country	:	US
Telephone Number	:	718-636-1955
Fax Number	:	718-638-1727

Provider Business Practice Location Address
First Line	:	321 WASHINGTON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-3704
Country	:	US
Telephone Number	:	718-636-1955
Fax Number	:	718-638-1727

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	09/24/2012

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