REBECCA GRACE ETKIN (NPI# 1548757289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548757289 |
| Entity Type | Individual |
| Full Name | REBECCA GRACE ETKIN |
| Practice Address |
168 Park Hall University At Buffalo North Campus Buffalo NY 14260-0001 |
| Mailing Address |
1290 Delaware Ave Apt 5a Buffalo NY 14209-2411 |
| Practice Telephone | 7166452541 |
| Mailing Telephone | 9175389071 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
168 PARK HALL UNIVERSITY AT BUFFALO NORTH CAMPUS |
| City | BUFFALO |
| State | NY |
| Zip Code | 14260-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629456470 | Jennifer Jane Peirick | Veterinarian | 116 Biomedical Education Building, 3435 Main St., Suny @ Buffalo, Laf, Buffalo, NY 14260 | 2015-05-13 |
| 1023631967 | William Allan Prescott Jr. | Pharmacist | 218 Pharmacy Building, Buffalo, NY 14260-0001 | 2020-05-27 |
| 1477907251 | Jason Mouyeos | Specialist/Technologist | University At Buffalo, Stadium Complex Rm 130, Buffalo, NY 14260-0001 | 2016-04-19 |
| 1295087872 | Alice C. Ceacareanu | Pharmacist | Elm and Carlton, Outpatient Leukemia Clinic, Buffalo, NY 14260-0001 | 2012-10-08 |
| 1164748018 | Natalie Jayne Dearing | Pharmacist | University At Buffalo School of Pharmacy, 225 Cooke Hall, Buffalo, NY 14260-0001 | 2010-04-18 |
| 1659514990 | Pirouz Fakhraei | Student in an Organized Health Care Education/Training Program | 12 Capen Hall Buffalo, Buffalo, NY 14260-0001 | 2009-04-16 |
| 1265976526 | Lauren Duft | Specialist/Technologist | University At Buffalo, 130 Stadium Complex, Buffalo, NY 14260-0001 | 2016-12-06 |
| 1861434169 | Abiola Dipeolu | Psychologist | 409 Baldy, Buffalo, NY 14260-1000 | 2006-06-12 |
| 1023388535 | Ashley Nichole Webb | Pharmacist | 315 Hochstetter Hall, Ub School of Pharmacy North Campus, Buffalo, NY 14260-1200 | 2012-01-01 |
| 1649481243 | Aria Mary Adamy | Pharmacist | 311 Hochstetter Hall, Amherst, NY 14260-1200 | 2007-05-24 |
| Find all providers in zip 14260 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655273 | Daniel Edwards | Student in an Organized Health Care Education/Training Program | 52 Angle St Uppr, Buffalo, NY 14214-1139 | 2020-10-05 |
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1356964043 | Andrew Buck | Student in an Organized Health Care Education/Training Program | 3435 Main St # 119, Buffalo, NY 14214-3001 | 2020-05-28 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| Find all providers in BUFFALO | ||||
Please comment or provide details below to improve the information on REBECCA GRACE ETKIN.
| 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.