Provider Demographics
NPI:1063674125
Name:RICHARD RATTOTTI MD PC
Entity type:Organization
Organization Name:RICHARD RATTOTTI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING
Authorized Official - Prefix:MR
Authorized Official - First Name:HANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WAIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BILLER
Authorized Official - Phone:845-362-8100
Mailing Address - Street 1:1620 CROSBY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-5201
Mailing Address - Country:US
Mailing Address - Phone:845-362-8100
Mailing Address - Fax:845-354-6347
Practice Address - Street 1:1620 CROSBY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5201
Practice Address - Country:US
Practice Address - Phone:845-362-8100
Practice Address - Fax:845-354-6347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty