Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 284820 | NY |
Y | 2080P0216X | Pediatric Rheumatologist | 284820 | NY |
NPI | 1518300342 |
---|---|
Provider Name | Rabheh Abdul Aziz |
First Address | Buffalo, NY 14222-2006 |
Second Address | Buffalo, NY 14222-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 16/12/2016 |