Provider Demographics
NPI:1750451373
Name:DULIT, REBECCA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:DULIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:45 POPHAM RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4252
Mailing Address - Country:US
Mailing Address - Phone:914-722-0608
Mailing Address - Fax:914-725-4219
Practice Address - Street 1:45 POPHAM RD
Practice Address - Street 2:SUITE D
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4252
Practice Address - Country:US
Practice Address - Phone:914-722-0608
Practice Address - Fax:914-725-4219
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1674612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY27F24Medicare ID - Type UnspecifiedPROVIDER NUMBER
NYE17303Medicare UPIN