Individual
COLLRANE RACHAEL FORESTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
241 NORTH ROAD, POUGHKEEPSIE, NY 12604-2140
(845) 483-5989
(845) 483-5912
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026039
NY
Other
Enumeration date
01/22/2021
Last updated
02/03/2021
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