MEDICARE: DR. REBECCA SCOTT-RANAWAKE 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	237381	NY

General Provider Information

NPI Number	:	1245314061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA SCOTT-RANAWAKE M.D.

Provider Business Mailing Address
First Line	:	192 WATER ST
Second Line	:	PH4
City	:	BROOKLYN
State	:	NY
Zip	:	11201-1196
Country	:	US
Telephone Number	:	646-339-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 E 68TH ST
Second Line	:	K312
City	:	NEW YORK
State	:	NY
Zip	:	10065-6321
Country	:	US
Telephone Number	:	646-339-0202
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	03/21/2016

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Directions to “ DR. REBECCA SCOTT-RANAWAKE M.D.” Practice Location

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