Provider Demographics
NPI:1730255530
Name:RABINOWITZ, MARC (DC)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 SAINT JAMES STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401
Mailing Address - Country:US
Mailing Address - Phone:845-338-3888
Mailing Address - Fax:845-338-3999
Practice Address - Street 1:79 SAINT JAMES STREET
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401
Practice Address - Country:US
Practice Address - Phone:845-338-3888
Practice Address - Fax:845-338-3999
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC085292OtherWORKERS COMP
X99392Medicare ID - Type Unspecified
NYC085292OtherWORKERS COMP