Doctor Name: | DR. WENDY RAPPORT GRAAE |
NPI Number: | 1235264516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 170824-1 |
Business Practice Address: | 620 East Boston Post Rd Mamaroneck, NY - 10543 |
Business Phone Number: | 9147775437 |
Business Fax Number: | |
Mailing Address: | 3 Truesdale Lake Dr, SOUTH SALEM |
State: | NY |
Postal Code: | 105901317 |
Phone Number: | 9147630692 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PP0204X |
License Number: | 170824-1 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Pediatric Emergency Medicine |
Taxonomy Definition: | Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |