Individual
RACHEL REISING CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W DOMINICK ST, ROME, NY 13440-5811
(315) 624-9470
Mailing address
205 WEST DOMINICK, ROME, NY 13440
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F340728-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164879722
—
NY
Enumeration date
05/24/2016
Last updated
03/17/2018
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