Healthcare Provider Details

I. General information

NPI: 1760055834
Provider Name (Legal Business Name): NATALIE M RIMAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST STE 808
BROOKLYN NY
11242-1108
US

IV. Provider business mailing address

219 RED MAPLE DR S
LEVITTOWN NY
11756-5400
US

V. Phone/Fax

Practice location:
  • Phone: 718-522-3600
  • Fax:
Mailing address:
  • Phone: 516-232-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number026799
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: