MEDICARE: DR. NATHALIE RIGAUD 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	207R00000X	Internal Medicine Physician	232758	NY
2	208000000X	Pediatrics Physician	232758	NY

General Provider Information

NPI Number	:	1659373504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHALIE RIGAUD MD

Provider Business Mailing Address
First Line	:	11439 SUTPHIN BLVD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-1022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11439 SUTPHIN BLVD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-1022
Country	:	US
Telephone Number	:	718-945-7150
Fax Number	:

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	01/30/2014

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