Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 298735 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 298735 | NY |
NPI | 1356638555 |
---|---|
Provider Name | Vanessa Natalie Raabe |
First Address | New York, NY 10016-6402 |
Second Address | New York, NY 10016-6402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2011 |
Last Update Date | 05/11/2020 |