Healthcare Provider Details

I. General information

NPI: 1235216664
Provider Name (Legal Business Name): WILLIAM JAMES RAPPAPORT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 FULTON ST
BROOKLYN NY
11217-1517
US

IV. Provider business mailing address

530 E 20TH ST SUITE M G
NEW YORK NY
10009
US

V. Phone/Fax

Practice location:
  • Phone: 718-596-9800
  • Fax: 877-460-4752
Mailing address:
  • Phone: 212-777-8407
  • Fax: 212-777-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number160539
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number160539
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: