Individual
MISS RACHEL ELIZABETH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS/MS
Contact information
Practice address
16 WEDGEWOOD RD, FISHKILL, NY 12524-1432
(845) 705-9174
Mailing address
124 ELMCREST DR, FISHKILL, NY 12524-3322
(845) 978-2343
(845) 485-4895
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
009903
NY
Other
Enumeration date
06/08/2009
Last updated
10/16/2019
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