Individual
DR. STEPHEN RABENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW-R
Contact information
Practice address
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1214
(631) 331-8245
Mailing address
1 HIGH ST., PORT JEFFERSON, NY 11777
(631) 928-2377
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R044363-1
NY
Other
Enumeration date
05/23/2007
Last updated
02/26/2013
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