Provider Demographics
NPI:1982808614
Name:FRAIOLI, REBECCA E (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:E
Last Name:FRAIOLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 BAINBRIDGE AVE, MAP 3
Mailing Address - Street 2:MONTEFIORE MEDICAL CENTER, DEPT OF OTOLARYNGOLOGY - HNS
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-8426
Mailing Address - Fax:718-405-9014
Practice Address - Street 1:3400 BAINBRIDGE AVE, MAP 3
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER, DEPT OF OTOLARYNGOLOGY - HNS
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-8426
Practice Address - Fax:718-405-9014
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNY244624207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery