MEDICARE: NYACK EMERGENCY MEDICAL ASSOCIATION PLLC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1174627293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NYACK EMERGENCY MEDICAL ASSOCIATION PLLC

Provider Business Mailing Address
First Line	:	PO BOX 80252
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19101-1252
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:	877-250-6889

Provider Business Practice Location Address
First Line	:	160 N MIDLAND AVE
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-1912
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:	877-250-6889

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	JEFFREY SCOTT RABRICH
Credential	:
Telephone Number	:	845-348-2341

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	01/06/2026

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