National Provider Identifier

Ralph R Madeb, M.D.

Ralph R Madeb, M.D. is listed in the NPPES registry with a primary specialty of Urology Physician in Newark, NY and a listed phone number of (585) 922-3150.

NPI 1073627337Newark, NYUrology Physician

Profile Overview

NPI
1073627337
Provider Type
Individual
Primary Specialty
Urology Physician
Enumeration Date
August 17, 2006
Last Updated
January 06, 2011

Practice Location

  • 1202 Driving Park Ave
  • Newark, NY 14513-1057

Phone: (585) 922-3150

Mailing Address

  • 1202 Driving Park Ave
  • Ste 5
  • Newark, NY 14513-1057

Specialties

  • Urology Physician (208800000X)
Full Record
NPI
1073627337
Entity Type
Individual
Last Name
Madeb
First Name
Ralph
Middle Name
R
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
1202 Driving Park Ave
Mailing Address Line 2
Ste 5
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1057
Mailing Country
US
Practice Street Address
1202 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1057
Practice Country
US
Practice Phone
(585) 922-3150
Enumeration Date
August 17, 2006
Last Updated
January 06, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Urology Physician (208800000X)
Other Identifiers
02897703 (NY)