Individual
DIANNE RAPP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 RED JACKET ST, DANSVILLE, NY 14437-9502
(585) 335-5200
(585) 335-5037
Mailing address
PO BOX 499, 22 RED JACKET STREET, DANSVILLE, NY 14437-0499
(585) 335-5200
(585) 335-5037
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
150795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01058328
—
NY
Enumeration date
03/17/2006
Last updated
07/08/2007
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