Provider Demographics
NPI:1427425552
Name:RABBIA, JOHN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:RABBIA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 W 177TH ST
Mailing Address - Street 2:31
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-7100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:611 W 177TH ST
Practice Address - Street 2:31
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-7100
Practice Address - Country:US
Practice Address - Phone:315-380-5814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY620256742251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics