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NPI Code Detail

MEDICARE: DR. REBECCA RAOOF MD

MEDICARE:  DR. REBECCA  RAOOF  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
1208000000XPediatrics Physician128062NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790881027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA RAOOF MD
Provider Business Mailing Address
First Line : 14 PHEASANT HILL LN
Second Line :
City : GLEN HEAD
State : NY
Zip : 11545-2115
Country : US
Telephone Number : 516-671-7582
Fax Number :
Provider Business Practice Location Address
First Line : 1390 PENNSYLVANIA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11239-2103
Country : US
Telephone Number : 718-642-9855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. REBECCA RAOOF MD” Practice Location

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