Provider Demographics
NPI:1386682235
Name:RAWINIS, IWONA (MD)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:
Last Name:RAWINIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4271 HEMPSTEAD TURNPIKE
Mailing Address - Street 2:STE 1
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714
Mailing Address - Country:US
Mailing Address - Phone:516-796-3700
Mailing Address - Fax:516-796-3205
Practice Address - Street 1:4271 HEMPSTEAD TURNPIKE
Practice Address - Street 2:STE 1
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714
Practice Address - Country:US
Practice Address - Phone:516-796-3700
Practice Address - Fax:516-796-3205
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200840207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01933751Medicaid
NY01933751Medicaid
NY01933751Medicaid