Provider Demographics
NPI:1578671335
Name:REBECCA NACHAMIE MD LLC
Entity Type:Organization
Organization Name:REBECCA NACHAMIE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:NACHAMIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-996-9854
Mailing Address - Street 1:47 EAST 88TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-996-9854
Mailing Address - Fax:
Practice Address - Street 1:47 E 88TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1152
Practice Address - Country:US
Practice Address - Phone:212-996-9854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106517207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20331Medicare UPIN
951111Medicare ID - Type Unspecified