Healthcare Provider Details

I. General information

NPI: 1851301816
Provider Name (Legal Business Name): REBECCA READ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA ROOT NP

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GRIDER ST DEPT OF SURGERY
BUFFALO NY
14215-3021
US

IV. Provider business mailing address

PO BOX 8000 DEPT #313 UNIVERSITY AT BUFFALO SURGEONS INC
BUFFALO NY
14267-0002
US

V. Phone/Fax

Practice location:
  • Phone: 716-898-5186
  • Fax: 716-898-5029
Mailing address:
  • Phone: 716-898-5227
  • Fax: 716-898-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF332756
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: