Provider Demographics
NPI:1144516121
Name:RAPOPORT, YUNA (MD)
Entity type:Individual
Prefix:DR
First Name:YUNA
Middle Name:
Last Name:RAPOPORT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YUNA
Other - Middle Name:
Other - Last Name:RAPOPORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:162 W 56TH ST # 206-207
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3831
Mailing Address - Country:US
Mailing Address - Phone:212-634-9644
Mailing Address - Fax:212-634-9644
Practice Address - Street 1:162 W 56TH ST # 206-207
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3831
Practice Address - Country:US
Practice Address - Phone:212-634-9644
Practice Address - Fax:212-634-9644
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283530207WX0009X, 207W00000X
MA262475207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYFR5392941Medicaid
NY1144516121OtherOPHTHALMOLOGY