Provider Demographics
NPI:1942519095
Name:RAPPAPORT, JEFFREY BEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BEN
Last Name:RAPPAPORT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4700
Mailing Address - Country:US
Mailing Address - Phone:413-530-2228
Mailing Address - Fax:
Practice Address - Street 1:474 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8414
Practice Address - Country:US
Practice Address - Phone:212-837-1833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054586-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist