Provider Demographics
NPI:1013191204
Name:RABACH, MORGAN ERICA (MD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:ERICA
Last Name:RABACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 5TH AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4377
Mailing Address - Country:US
Mailing Address - Phone:212-777-2272
Mailing Address - Fax:212-777-2274
Practice Address - Street 1:33 5TH AVE
Practice Address - Street 2:1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4377
Practice Address - Country:US
Practice Address - Phone:212-777-2272
Practice Address - Fax:212-777-2274
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249977207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology