Raboy, Adley
Raboy, Adley is an individual health care provider with primary practice located at 1460 Victory Blvd , Staten Island NY 10301-3914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Raboy, Adley can be contacted via phone (718) 273-8100.Contact Information
Primary practice address
1460 Victory Blvd
Staten Island NY 10301-3914
Phone: (718) 273-8100
Fax: (718) 876-0370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 168222 | New York |
Profile Details
| NPI number | 1144221474 |
|---|---|
| LBN Legal business name | Raboy, Adley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144221474 | NPPES |
| New York | MEDICAID | 01227825 |
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