Provider Demographics
NPI:1609263185
Name:R&B MEDICAL
Entity Type:Organization
Organization Name:R&B MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCCIARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-635-0688
Mailing Address - Street 1:100 COLLEGE PARKWAY
Mailing Address - Street 2:STE 260
Mailing Address - City:WILLIASMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-635-0688
Mailing Address - Fax:716-204-9574
Practice Address - Street 1:100 COLLEGE PKWY
Practice Address - Street 2:STE 260
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-6800
Practice Address - Country:US
Practice Address - Phone:716-635-0688
Practice Address - Fax:716-204-9574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF307188207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty