MEDICARE: DAVID RABIN PHD, MD

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	2084P0800X	Psychiatry Physician	310305	NY

General Provider Information

NPI Number	:	1528487964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID RABIN PHD, MD

Provider Business Mailing Address
First Line	:	1284 VISCAINO RD
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-3212
Country	:	US
Telephone Number	:	415-686-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	1284 VISCAINO RD
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-3212
Country	:	US
Telephone Number	:	518-227-1830
Fax Number	:

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

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	12/19/2024

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