Individual
MS. CAROLINE JEAN RATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 E TUPPER ST, BUFFALO, NY 14203-1315
(716) 919-6870
Mailing address
100 E TUPPER ST, BUFFALO, NY 14203-1315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004640
NY
363AM0700X
Medical Physician Assistant
004640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004640
PHYSICIAN ASSISTANT LICENSE
NY
01
—
4278
ARIZONA STATE PHYSICIAN ASSISTANT LICENSE
AZ
Enumeration date
05/02/2007
Last updated
04/06/2026
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