Doctor Name: | JAMES H RABER |
NPI Number: | 1265454482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | 333601 |
Business Practice Address: | 2658 Main St Newfane, NY - 141081033 |
Business Phone Number: | 7167788627 |
Business Fax Number: | 7167788059 |
Mailing Address: | 2658 Main St, NEWFANE |
State: | NY |
Postal Code: | 141081033 |
Phone Number: | 7167788627 |
Fax Number: | 7167788059 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 11/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 333601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |