# GARY K RACHLIN DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477509016
- **Authorized official:** JEANNINE BURTIS (MEDICAL BILLER)
- **Authorized official phone:** (516) 731-1900

## Contact information

- **Practice address:** 4230 HEMPSTEAD TPKE, SUITE 200, BETHPAGE, NY 11714-5700
- **Practice address phone:** (516) 731-1900
- **Practice address fax:** (516) 731-7302
- **Mailing address:** 4230 HEMPSTEAD TPKE, SUITE 200, BETHPAGE, NY 11714-5700
- **Mailing address phone:** (516) 731-1900
- **Mailing address fax:** (516) 731-7302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 02/04/2016
