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
Fax: (718) 876-0370
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144221474 NPPES
New York MEDICAID 01227825

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