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NPI Code Detail

MEDICARE: RICHARD RATTOTTI MD PC

MEDICARE: RICHARD RATTOTTI MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1063674125
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD RATTOTTI MD PC
Provider Business Mailing Address
First Line : 1620 CROSBY AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-5201
Country : US
Telephone Number : 845-362-8100
Fax Number : 845-354-6347
Provider Business Practice Location Address
First Line : 1620 CROSBY AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-5201
Country : US
Telephone Number : 845-362-8100
Fax Number : 845-354-6347
Authorized Official
Title or Position : MEDICAL BILLING
Name : MR. HANAN WAIZMAN
Credential : BILLER
Telephone Number : 845-362-8100
Provider Enumeration Date : 06/30/2008
Last Update Date : 07/03/2008

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