Healthcare Provider Details

I. General information

NPI: 1124590559
Provider Name (Legal Business Name): RINA HEALTH MEDICAL PRACTICE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2018
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date: 04/23/2026
Reactivation Date: 06/19/2026

III. Provider practice location address

23 ROBERT PITT DR STE 102A
MONSEY NY
10952-3470
US

IV. Provider business mailing address

23 ROBERT PITT DR STE 102A
MONSEY NY
10952-3470
US

V. Phone/Fax

Practice location:
  • Phone: 718-689-6006
  • Fax: 516-430-5031
Mailing address:
  • Phone: 718-689-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: YITZCHAK GOLDSMITH
Title or Position: OWNER
Credential:
Phone: 718-689-6006