MEDICARE: DR. MICHELLE CYNTHIA RATAU MD, MPH

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	2080P0006X	Developmental - Behavioral Pediatrics Physician	211701	NY
2	208000000X	Pediatrics Physician	211701	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00211701	OTHER	NY	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336115757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE CYNTHIA RATAU MD, MPH

Provider Business Mailing Address
First Line	:	4422 3RD AVE FL 4
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-2545
Country	:	US
Telephone Number	:	718-220-9755
Fax Number	:

Provider Business Practice Location Address
First Line	:	2016 BRONXDALE AVE STE 203
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-3365
Country	:	US
Telephone Number	:	718-597-0700
Fax Number	:	718-597-9500

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

Provider Enumeration Date	:	02/25/2006
Last Update Date	:	04/02/2025

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