Healthcare Provider Details

I. General information

NPI: 1407286495
Provider Name (Legal Business Name): EMILY RAPPAPORT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2013
Last Update Date: 11/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 NORTH ST
WHITE PLAINS NY
10605-2209
US

IV. Provider business mailing address

2 MUSKETT CT
BEDFORD NY
10506-1714
US

V. Phone/Fax

Practice location:
  • Phone: 914-202-2656
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number026101-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: