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NPI Code Detail

MEDICARE: REBECCA GOLDERMAN LOBELL

MEDICARE: REBECCA GOLDERMAN LOBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist778580NY

General Provider Information

NPI Number : 1306639307
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA GOLDERMAN LOBELL
Provider Business Mailing Address
First Line : 1450 WESTERN AVE STE 102
Second Line :
City : ALBANY
State : NY
Zip : 12203-3539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1450 WESTERN AVE STE 102
Second Line :
City : ALBANY
State : NY
Zip : 12203-3539
Country : US
Telephone Number : 518-463-0050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2025
Last Update Date : 01/16/2026

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Directions to “ REBECCA GOLDERMAN LOBELL ” Practice Location

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