Provider Demographics
NPI:1164456448
Name:POMERANTZ, RHONDA JANE (MD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JANE
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 E 46TH ST
Mailing Address - Street 2:SUITE 1101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2417
Mailing Address - Country:US
Mailing Address - Phone:212-335-0488
Mailing Address - Fax:646-682-7616
Practice Address - Street 1:20 E 46TH ST
Practice Address - Street 2:SUITE 1101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2417
Practice Address - Country:US
Practice Address - Phone:212-335-0488
Practice Address - Fax:646-682-7616
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY182883-1207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY117341Medicare PIN
NYF99697Medicare UPIN