Individual
EDWRAD RABADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 364-0055
Mailing address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 364-0055
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NY
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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