Provider Demographics
NPI:1679765671
Name:RABRICH, JEFFREY SCOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:RABRICH
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1000 10TH AVE RM GE-01
Mailing Address - Street 2:ST. LUKE'S - ROOSEVELT HOSPITAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1147
Mailing Address - Country:US
Mailing Address - Phone:212-523-8158
Mailing Address - Fax:212-523-8000
Practice Address - Street 1:1000 10TH AVE RM GE-01
Practice Address - Street 2:ST. LUKE'S - ROOSEVELT HOSPITAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1147
Practice Address - Country:US
Practice Address - Phone:212-523-8158
Practice Address - Fax:212-523-8000
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2009-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY244816207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine