Organization
MEDROCK MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERENIE RACHUNOW MD (OWNER)
(212) 510-7020
Entity
Organization
Contact information
Practice address
139 FULTON ST, NEW YORK, NY 10038-2594
(212) 510-7020
Mailing address
139 FULTON ST, NEW YORK, NY 10038-2594
(212) 510-7020
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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