MEDICARE: SIMON S RABINOWITZ M.D.

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
1	208000000X	Pediatrics Physician	161072	NY

General Provider Information

NPI Number	:	1144314360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMON S RABINOWITZ M.D.

Provider Business Mailing Address
First Line	:	445 LENOX RD
Second Line	:	DEPT OF PEDIATRICS, BOX 49
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2098
Country	:	US
Telephone Number	:	718-270-1647
Fax Number	:	718-270-1985

Provider Business Practice Location Address
First Line	:	445 LENOX RD
Second Line	:	DEPT OF PEDIATRICS, BOX 49
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2098
Country	:	US
Telephone Number	:	718-270-1647
Fax Number	:	718-270-1985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/15/2012

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