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NPI Code Detail

MEDICARE: ALEXANDER RIPS M.D.

MEDICARE:   ALEXANDER  RIPS  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
1207L00000XAnesthesiology Physician199051NY
2207LP2900XPain Medicine (Anesthesiology) Physician199051NY

General Provider Information

NPI Number : 1316039084
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER RIPS M.D.
Provider Business Mailing Address
First Line : PO BOX 270
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-0270
Country : US
Telephone Number : 631-264-2035
Fax Number : 631-264-1418
Provider Business Practice Location Address
First Line : 2269 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3103
Country : US
Telephone Number : 718-787-0387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 04/30/2008

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