Provider Demographics
NPI:1851301816
Name:READ, REBECCA (NP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:READ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ROOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT #313 UNIVERSITY AT BUFFALO SURGEONS INC
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:716-898-5227
Mailing Address - Fax:716-898-5029
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:DEPT OF SURGERY
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-5186
Practice Address - Fax:716-898-5029
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332756363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02088553Medicaid
NY02088553Medicaid