Individual
RICK RABBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4060
Mailing address
163 AVENUE A, HOLBROOK, NY 11741-1433
(631) 219-7143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015368
NY
363AM0700X
Medical Physician Assistant
015368
NY
363AS0400X
Surgical Physician Assistant
Primary
015368
NY
Other
Enumeration date
12/07/2011
Last updated
12/08/2011
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