Individual
MISS RACHEL ROSE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4971 BEAR RD, LIVERPOOL, NY 13088-4156
(315) 451-9509
Mailing address
4971 BEAR RD, LIVERPOOL, NY 13088-4156
(315) 451-9509
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
F352205-01
NY
363L00000X
Nurse Practitioner
Primary
F352205-01
NY
Other
Enumeration date
10/16/2023
Last updated
11/13/2023
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