Individual
RACHEL MISHAELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18635 80TH DR, JAMAICA, NY 11432-5804
(917) 880-5456
Mailing address
18635 80TH DR, JAMAICA, NY 11432-5804
(917) 880-5456
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2616274
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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