Provider Demographics
NPI:1780757096
Name:RABIN, JILL (MD)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:RABIN
Suffix:
Gender:F
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:WOMEN'S COMPREHENSIVE HEALTH CENTER
Mailing Address - Street 2:1554 NORTHERN BOULEVARD
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-390-9242
Mailing Address - Fax:
Practice Address - Street 1:WOMEN'S COMPREHENSIVE HEALTH CENTER
Practice Address - Street 2:1554 NORTHERN BOULEVARD
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030
Practice Address - Country:US
Practice Address - Phone:516-390-9242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154188207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics