Individual
RACHEL ANNE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3151 STONEY ST, MOHEGAN LAKE, NY 10547-1913
(914) 885-1995
Mailing address
2460 BRUYNSWICK RD, WALLKILL, NY 12589-3259
(251) 656-0490
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202120260
NY
Other
Enumeration date
12/02/2021
Last updated
06/28/2023
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