Individual
MRS. MONICA LYNN RALABATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
(716) 631-9525
Mailing address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
(716) 631-9525
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0081681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026503401
UNIVERA
NY
01
—
000570357001
BC/BS
NY
05
—
01623490
—
NY
01
—
140007663
RAIL ROAD MEDICARE
NY
01
—
9511943
INDEPENDENT HEALTH
NM
Enumeration date
04/25/2006
Last updated
10/27/2021
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