Provider Demographics
NPI:1689723181
Name:GRABER, ROBYN A (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:A
Last Name:GRABER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GROVE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1328
Mailing Address - Country:US
Mailing Address - Phone:585-383-8833
Mailing Address - Fax:585-383-0850
Practice Address - Street 1:1 GROVE ST STE 103
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1328
Practice Address - Country:US
Practice Address - Phone:585-383-8833
Practice Address - Fax:585-383-0850
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005920-1111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11172BMedicare ID - Type UnspecifiedPART B PROVIDER