Madeb, Ralph R

Madeb, Ralph R is an individual health care provider with primary practice located at 1202 Driving Park Ave , Newark NY 14513-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Madeb, Ralph R can be contacted via phone (585) 922-3150.

Contact Information

Primary practice address
1202 Driving Park Ave Newark NY 14513-1057
Phone: (585) 922-3150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 233967 New York

Profile Details

NPI number 1073627337
LBN Legal business name Madeb, Ralph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073627337 NPPES
New York MEDICAID 02897703

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