MEDICARE: MS. ANNA RABINOVICH NP

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	363LA2200X	Adult Health Nurse Practitioner	F304212	NY

General Provider Information

NPI Number	:	1659333094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA RABINOVICH NP

Provider Business Mailing Address
First Line	:	379 PENINSULA BLVD
Second Line	:
City	:	LYNBROOK
State	:	NY
Zip	:	11563-3155
Country	:	US
Telephone Number	:	516-599-6529
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 GARDEN CITY PLZ
Second Line	:	SUITE 111
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-3322
Country	:	US
Telephone Number	:	516-739-3030
Fax Number	:	516-739-3044

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	06/19/2009

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