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Organization
JORDAN W RACHLIN DPM PC
Active
Organization
JORDAN W RACHLIN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN W RACHLIN DPM (PRES)
(914) 472-9272
Entity
Organization
Contact information
Practice address
221 E HARTSDALE AVE, HARTSDALE, NY 10530-3572
(914) 472-9272
(914) 472-9321
Mailing address
221 E HARTSDALE AVE, HARTSDALE, NY 10530-3572
(914) 472-9272
(914) 472-9321
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00418075
—
NY
01
—
0076764
GHI
NY
01
—
10053408
CDHP
NY
01
—
220-148
WORKMANS COMP.
NY
01
—
2C6600
HEALTHNET HEALTH PLAN
NY
01
—
4369401
AETNA HEALTH PLANS
NY
01
—
47808P
HIP
NY
01
—
480020684
MEDICAIRE RAILROAD
NY
01
—
480033899
MEDICAIRE RAILROAD
NY
01
—
AA1073
EMPIRE BC/BS
NY
01
—
P27581
EMPIRE BC/BS
NY
01
—
P27582
EMPIRE BC/BS
NY
01
—
YS094
OXFORD
NY
Enumeration date
10/03/2006
Last updated
05/22/2009
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