# JORDAN W RACHLIN DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134214448
- **Authorized official:** DR. JORDAN W RACHLIN DPM (PRES)
- **Authorized official phone:** (914) 472-9272

## Contact information

- **Practice address:** 221 E HARTSDALE AVE, HARTSDALE, NY 10530-3572
- **Practice address phone:** (914) 472-9272
- **Practice address fax:** (914) 472-9321
- **Mailing address:** 221 E HARTSDALE AVE, HARTSDALE, NY 10530-3572
- **Mailing address phone:** (914) 472-9272
- **Mailing address fax:** (914) 472-9321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 002464 | NY | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/22/2009

## 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 |