Provider Demographics
NPI:1588255541
Name:RVC OBS LLP
Entity type:Organization
Organization Name:RVC OBS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-792-3315
Mailing Address - Street 1:55 MAPLE AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4267
Mailing Address - Country:US
Mailing Address - Phone:516-536-2221
Mailing Address - Fax:516-764-8747
Practice Address - Street 1:55 MAPLE AVE STE 106
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4267
Practice Address - Country:US
Practice Address - Phone:516-536-2221
Practice Address - Fax:516-764-8747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4208288Medicaid