1447418694 NPI number — REBECCA LIVEZEY TINSMAN RPA C

Table of content: REBECCA LIVEZEY TINSMAN RPA C (NPI 1447418694)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447418694 NPI number — REBECCA LIVEZEY TINSMAN RPA C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TINSMAN
Provider First Name:
REBECCA
Provider Middle Name:
LIVEZEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPA C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447418694
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 W 55TH ST
Provider Second Line Business Mailing Address:
APT 2A
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10019-5132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-265-1153
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
520 E. 70TH ST.
Provider Second Line Business Practice Location Address:
NEW YORK-PRESBYTERIAN HOSPITAL, STARR 341
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-746-7576
Provider Business Practice Location Address Fax Number:
212-746-8246
Provider Enumeration Date:
05/23/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  005428 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)