Individual
RACHEL DYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E 75TH ST, SUITE 1A, NEW YORK, NY 10021-3240
(212) 288-6133
Mailing address
7 PARK AVE, APT 46, NEW YORK, NY 10016-4349
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015639
NY
Other
Enumeration date
06/18/2012
Last updated
08/08/2014
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