Provider Demographics
NPI:1922011014
Name:RABINOWITZ, ASHER DON (MD)
Entity Type:Individual
Prefix:
First Name:ASHER
Middle Name:DON
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29211
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-9211
Mailing Address - Country:US
Mailing Address - Phone:212-305-8132
Mailing Address - Fax:212-927-9704
Practice Address - Street 1:630 W 168TH ST
Practice Address - Street 2:VC15-207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:212-305-2155
Practice Address - Fax:212-927-9704
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA042917207N00000X
NY124181-1207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA64908Medicare UPIN
NY94A542Medicare ID - Type Unspecified