Provider Demographics
NPI:1407995830
Name:RAI, ALEX J (PHD, DABCC, FACB)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:J
Last Name:RAI
Suffix:
Gender:M
Credentials:PHD, DABCC, FACB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 KENNEDY BLVD E
Mailing Address - Street 2:APT. 15H
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-3825
Mailing Address - Country:US
Mailing Address - Phone:212-639-5599
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:312BH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6007
Practice Address - Country:US
Practice Address - Phone:212-639-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRAIXA1246QC1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QC1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyChemistry