Provider Demographics
NPI:1659667558
Name:PHILIP RABITO MD PC
Entity type:Organization
Organization Name:PHILIP RABITO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:RABITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-703-3775
Mailing Address - Street 1:150 E 77TH ST OFC 1D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1922
Mailing Address - Country:US
Mailing Address - Phone:877-703-3775
Mailing Address - Fax:866-237-6449
Practice Address - Street 1:150 E 77TH ST OFC 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1922
Practice Address - Country:US
Practice Address - Phone:877-703-3775
Practice Address - Fax:866-237-6449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206709174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty