Basic Information
Provider Information
NPI: 1619920907
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPERLING
FirstName: RHODA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 E 98TH ST
Address2: 2ND FLOOR BOX 1174
City: NEW YORK
State: NY
PostalCode: 100296501
CountryCode: US
TelephoneNumber: 2122419393
FaxNumber: 2124231238
Practice Location
Address1: 5 E 98TH ST
Address2: 2ND FLOOR BOX 1174
City: NEW YORK
State: NY
PostalCode: 100296501
CountryCode: US
TelephoneNumber: 2122419393
FaxNumber: 2124231238
Other Information
ProviderEnumerationDate: 05/18/2006
LastUpdateDate: 05/03/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X151699-1NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

ID Information
IDTypeStateIssuerDescription
088260501NYAETNA, HMOOTHER
428681901NYAETNA,PPO,POS,EPO,INDEMNIOTHER
0090369505NY MEDICAID
22390601NYMSNYU HEALTH TOP TIER UHCOTHER
22390601NYUHC,HMO,POS,PPO,EPO,INDEMOTHER


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