Provider Demographics
NPI:1184934705
Name:RABINOWITZ, EFSTRATIA
Entity type:Individual
Prefix:
First Name:EFSTRATIA
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 1:3 HUNTERS LANE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2892
Mailing Address - Country:US
Mailing Address - Phone:917-837-3678
Mailing Address - Fax:516-627-1907
Practice Address - Street 1:2318 31ST ST
Practice Address - Street 2:318
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2892
Practice Address - Country:US
Practice Address - Phone:718-728-9822
Practice Address - Fax:718-728-2004
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-16
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013837363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant