Provider Demographics
NPI:1174804066
Name:STUART RASCH, M.D., P.C
Entity type:Organization
Organization Name:STUART RASCH, M.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-735-6603
Mailing Address - Street 1:40 SICKLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2867
Mailing Address - Country:US
Mailing Address - Phone:845-735-6603
Mailing Address - Fax:845-201-8190
Practice Address - Street 1:404 ROUTE 59
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3429
Practice Address - Country:US
Practice Address - Phone:845-357-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185778207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty