Individual
MARIAN RABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 HAVILAND PARK, ROCHESTER, NY 14616-4238
(585) 305-2897
Mailing address
257 HAVILAND PARK, ROCHESTER, NY 14616-4238
(585) 305-2897
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LGXY
—
NY
Enumeration date
11/07/2019
Last updated
11/07/2019
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