Provider Demographics
NPI:1750794814
Name:RAPOPORT, ARNOLD S (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:S
Last Name:RAPOPORT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ADIRONDACK
Mailing Address - State:NY
Mailing Address - Zip Code:12808-0191
Mailing Address - Country:US
Mailing Address - Phone:518-532-9986
Mailing Address - Fax:518-532-9986
Practice Address - Street 1:49 SUGAR HILL WAY
Practice Address - Street 2:
Practice Address - City:ADIRONDACK
Practice Address - State:NY
Practice Address - Zip Code:12808-0191
Practice Address - Country:US
Practice Address - Phone:518-532-9986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097940207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology