Healthcare Provider Details

I. General information

NPI: 1295727303
Provider Name (Legal Business Name): DEBORAH RIMLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14449 70TH AVE
FLUSHING NY
11367-1713
US

IV. Provider business mailing address

14449 70TH AVE
FLUSHING NY
11367-1713
US

V. Phone/Fax

Practice location:
  • Phone: 718-263-0600
  • Fax: 718-263-4804
Mailing address:
  • Phone: 718-263-0600
  • Fax: 718-263-4804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number152160
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: