Provider Demographics
NPI:1861651762
Name:NACHAMIE, REBECCA (MD LLC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:NACHAMIE
Suffix:
Gender:F
Credentials:MD LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 E 88TH ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1152
Mailing Address - Country:US
Mailing Address - Phone:212-996-9854
Mailing Address - Fax:212-996-9876
Practice Address - Street 1:47 E 88TH ST
Practice Address - Street 2:1ST FLOOR
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:212-996-9876
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106517207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY951111Medicare PIN