Beth Rapp
Physician Assistant in Lawrence, NY. Individual provider (NPI-1).
NPI number1164060208
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1164060208
- Entity type
- Individual (NPI-1)
- Name
- Beth Rapp
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2019
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 026983 | NY | Yes |
Practice location
65 Harborview WLawrence, NY 11559-1911
Phone 516-428-7302
Mailing address
65 Harborview WLawrence, NY 11559-1911
Phone 516-428-7302
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