Healthcare Provider Details

I. General information

NPI: 1821383449
Provider Name (Legal Business Name): REBECCA REPOVSCH TOPHAM FNP-BC, ENP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BURWELL ST
LITTLE FALLS NY
13365-1725
US

IV. Provider business mailing address

1 ATWELL RD
COOPERSTOWN NY
13326-1394
US

V. Phone/Fax

Practice location:
  • Phone: 315-823-1000
  • Fax: 315-823-4760
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number336778
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: