National Provider Identifier
Rae Louise Light, MSED
Rae Louise Light, MSED is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Little Valley, NY and a listed phone number of (716) 945-3981.
Profile Overview
- NPI
- 1043573330
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- June 21, 2012
- Last Updated
- June 25, 2013
Practice Location
- 4249 E Bucktooth Run RD
- Little Valley, NY 14755-9753
Phone: (716) 945-3981
Mailing Address
- 4249 E Bucktooth Run RD
- Suite 4010
- Little Valley, NY 14755-9753
Specialties
- Early Intervention Provider Agency (252Y00000X)
- Case Management Agency (251B00000X)
- Specialist (174400000X)
Full Record
- NPI
- 1043573330
- Entity Type
- Individual
- Last Name
- Light
- First Name
- Rae
- Middle Name
- Louise
- Name Prefix
- Mrs.
- Credential
- MSED
- Mailing Street Address
- 4249 E Bucktooth Run RD
- Mailing Address Line 2
- Suite 4010
- Mailing City
- Little Valley
- Mailing State
- NY
- Mailing ZIP Code
- 14755-9753
- Mailing Country
- US
- Mailing Phone
- (716) 945-3981
- Practice Street Address
- 4249 E Bucktooth Run RD
- Practice City
- Little Valley
- Practice State
- NY
- Practice ZIP Code
- 14755-9753
- Practice Country
- US
- Practice Phone
- (716) 945-3981
- Enumeration Date
- June 21, 2012
- Last Updated
- June 25, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X), Case Management Agency (251B00000X), Specialist (174400000X)