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NPI Code Detail

MEDICARE: DR. SHAUL RABINOWITZ PH.D.

MEDICARE: DR. SHAUL RABINOWITZ PH.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
1103TC0700XClinical Psychologist009010NY
2103TC2200XClinical Child & Adolescent Psychologist009010NY

General Provider Information

NPI Number : 1396893301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAUL RABINOWITZ PH.D.
Provider Business Mailing Address
First Line : 124 NORTH MERRICK AVE
Second Line :
City : MERRICK
State : NY
Zip : 11566-3434
Country : US
Telephone Number : 516-868-8401
Fax Number : 516-868-8539
Provider Business Practice Location Address
First Line : 124 NORTH MERRICK AVE
Second Line :
City : MERRICK
State : NY
Zip : 11566-3434
Country : US
Telephone Number : 516-868-8401
Fax Number : 516-868-8539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 09/11/2025

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