Individual
ALEXANDER STEFAN RABEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 QUINTARD ST, STATEN ISLAND, NY 10305-4204
(917) 392-0900
Mailing address
365 QUINTARD ST, STATEN ISLAND, NY 10305-4204
(917) 392-0900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028799
NY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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