Individual
DEBORAH F. RAIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 FRANKLIN ST, BUFFALO, NY 14202-1110
(716) 332-4472
(716) 332-4675
Mailing address
560 FRANKLIN ST, BUFFALO, NY 14202-1110
(716) 332-4472
(716) 332-4675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
149970
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010143303
UNIVERA
NY
01
—
000508658007
BC/BS
NY
05
—
00764392
—
NY
01
—
040426002526
FIDELIS
NY
01
—
1209806
IHA
NY
01
—
144081DL
PREFERRED CARE
NY
Enumeration date
10/31/2005
Last updated
09/11/2014
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