Provider Demographics
NPI:1386147353
Name:TATE, RASHOUN JAMEL (EKG TECH)
Entity type:Individual
Prefix:MR
First Name:RASHOUN
Middle Name:JAMEL
Last Name:TATE
Suffix:
Gender:M
Credentials:EKG TECH
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1901 1ST AVE METROPOLITAN HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7404
Mailing Address - Country:US
Mailing Address - Phone:212-423-6271
Mailing Address - Fax:212-423-6338
Practice Address - Street 1:1901 1ST AVE METROPOLITAN HOSPITAL
Practice Address - Street 2:7B-6
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-8456
Practice Address - Fax:212-423-6338
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS819940374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician