Provider Demographics
NPI:1952669491
Name:RIMPELL, RALPH BERNARD (RN)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:BERNARD
Last Name:RIMPELL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26-01 MOTT AVE
Mailing Address - Street 2:ROOM 123
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691
Mailing Address - Country:US
Mailing Address - Phone:718-327-2935
Mailing Address - Fax:
Practice Address - Street 1:2601 MOTT AVE
Practice Address - Street 2:ROOM 123
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-1761
Practice Address - Country:US
Practice Address - Phone:718-327-2935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY510119163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse