Provider Demographics
NPI:1801861398
Name:RAPPAPORT, LEWIS B (MD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:B
Last Name:RAPPAPORT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8366
Mailing Address - Country:US
Mailing Address - Phone:631-659-1600
Mailing Address - Fax:631-665-5870
Practice Address - Street 1:61 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8366
Practice Address - Country:US
Practice Address - Phone:631-659-1600
Practice Address - Fax:631-665-5870
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246326207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease