Individual
RACHEL FORMALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
Mailing address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995857
—
NY
01
—
1497737167
AGENCY NPI
NY
01
—
W1L271
MEDICARE
NY
Enumeration date
02/25/2019
Last updated
02/25/2019
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