Individual
RACHEL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 LAKEVILLE RD STE 204, NEW HYDE PARK, NY 11042-1103
(650) 759-0433
Mailing address
410 LAKEVILLE RD STE 204, NEW HYDE PARK, NY 11042-1103
(650) 759-0433
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
328719
NY
Other
Enumeration date
04/14/2016
Last updated
03/26/2024
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