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NPI Code Detail

MEDICARE: STEPHEN RAYPORT MD PHD

MEDICARE:   STEPHEN  RAYPORT  MD PHD
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
12084P0800XPsychiatry Physician155946-1NY

General Provider Information

NPI Number : 1851304018
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN RAYPORT MD PHD
Provider Business Mailing Address
First Line : 1051 RIVERSIDE DR UNIT 62
Second Line :
City : NEW YORK
State : NY
Zip : 10032-1007
Country : US
Telephone Number : 646-774-7515
Fax Number : 646-774-7562
Provider Business Practice Location Address
First Line : 1051 RIVERSIDE DR UNIT 62
Second Line :
City : NEW YORK
State : NY
Zip : 10032-1007
Country : US
Telephone Number : 646-774-7515
Fax Number : 646-774-7562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 04/26/2026

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Directions to “ STEPHEN RAYPORT MD PHD” Practice Location

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