PROF. PAMELA JANE RATHBURN


Address: 48 Samuels Path, Miller Place, NY 11764-1921
Phone: 6317218872

PROF. PAMELA JANE RATHBURN (NPI# 1508147950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508147950
Entity Type Individual
Full Name PROF. PAMELA JANE RATHBURN
Credential NP
Practice Address 48 Samuels Path
Miller Place
NY 11764-1921
Practice Telephone 6317218872
Mailing Telephone 6317218872
Enumeration Date 2011-08-30
Last Update Date 2014-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F401659-1 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
F360369-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 48 SAMUELS PATH
City MILLER PLACE
State NY
Zip Code 11764-1921

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1063858355 Karen Ann Mcnulty Specialist 16 White Birch Circle, Miller Place, NY 11764 2013-05-14
1689918070 Katja Mercado Speech-Language Pathologist 3 Honey Lane, Miller Place, NY 11764 2012-11-26
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1124338611 Lisa Aitken Social Worker 15 Memorial Drive, Miller Place, NY 11764 2010-10-18
1659504876 Janet Lynn Karp Speech-Language Pathologist 36 Samuels Path, Miller Place, NY 11764 2009-09-04
1356577589 Marilee Somerville Physical Therapist 36 Sweetgum Ln, Miller Place, NY 11764 2009-06-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821156738 Miriam Garcia Nurse Practitioner 19 Henearly Dr, Miller Place, NY 11764-3307 2006-12-04
1306941026 Rosalie Banovich Nurse Practitioner 565 Route 25a Ste 209, Miller Place, NY 11764-2600 2006-09-14

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1780284869 Mary Gwynne Tillotson Nurse Practitioner 82 Oxford Ave, Buffalo, NY 14209-1406 2020-10-28
1780284273 Angela Abramov Nurse Practitioner 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 2020-10-26
1407455967 Marie J. Schwarz, Npp-bc PC Nurse Practitioner 133 E Main St Ste 3h, Babylon, NY 11702-3517 2020-10-25
1720687015 Ashley Winn Nurse Practitioner 367 E Chester St, Long Beach, NY 11561-2324 2020-10-19
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Competitor

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City MILLER PLACE
Zip Code 11764

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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