Provider Demographics
NPI:1891163903
Name:RABINOWITZ, ANCA
Entity Type:Individual
Prefix:
First Name:ANCA
Middle Name:
Last Name:RABINOWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22A OLD HICKORY DR
Mailing Address - Street 2:APT.2A
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1137
Mailing Address - Country:US
Mailing Address - Phone:718-506-5490
Mailing Address - Fax:
Practice Address - Street 1:22A OLD HICKORY DR
Practice Address - Street 2:APT.2A
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-1137
Practice Address - Country:US
Practice Address - Phone:718-506-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist