Provider Demographics
NPI:1639443682
Name:ROBYN A GRABER, DC, PC
Entity Type:Organization
Organization Name:ROBYN A GRABER, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRABER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-383-8833
Mailing Address - Street 1:1 GROVE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1300
Mailing Address - Country:US
Mailing Address - Phone:585-383-8833
Mailing Address - Fax:585-383-0850
Practice Address - Street 1:1 GROVE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1300
Practice Address - Country:US
Practice Address - Phone:585-383-8833
Practice Address - Fax:585-383-0850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005920-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11172BMedicare PIN