Healthcare Provider Details

I. General information

NPI: 1457345589
Provider Name (Legal Business Name): BERNARD RIMPEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2005
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381B LINDEN BLVD
BROOKLYN NY
11212-4701
US

IV. Provider business mailing address

1381 LINDEN BLVD
BROOKLYN NY
11212-4755
US

V. Phone/Fax

Practice location:
  • Phone: 718-498-3103
  • Fax:
Mailing address:
  • Phone: 718-498-3103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number142941
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: