MEDICARE: MS. MICHELLE RABINOVICH D.O.

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	207Q00000X	Family Medicine Physician	OS018137	PA

General Provider Information

NPI Number	:	1962849505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE RABINOVICH D.O.

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:	717-851-6969

Provider Business Practice Location Address
First Line	:	13515 WOLFE RD STE C
Second Line	:
City	:	NEW FREEDOM
State	:	PA
Zip	:	17349-9346
Country	:	US
Telephone Number	:	717-812-2501
Fax Number	:	717-461-7178

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

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	06/09/2026

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