Provider Demographics
NPI:1013997253
Name:RASCH, STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:RASCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:40 SICKLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2867
Mailing Address - Country:US
Mailing Address - Phone:845-735-6603
Mailing Address - Fax:845-735-6538
Practice Address - Street 1:40 SICKLETOWN RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2867
Practice Address - Country:US
Practice Address - Phone:845-735-6603
Practice Address - Fax:845-735-6538
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY185778207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE95857Medicare UPIN