Healthcare Provider Details

I. General information

NPI: 1114845294
Provider Name (Legal Business Name): REBECCAH APPELBAUM PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WATER ST
NEW YORK NY
10041-0004
US

IV. Provider business mailing address

55 WATER ST
NEW YORK NY
10041-0004
US

V. Phone/Fax

Practice location:
  • Phone: 347-774-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number035703
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: