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Individual

RACHEL LANDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 493-8558
(914) 493-1488
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(914) 493-8558
(914) 493-1488

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007702
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02575120
NY
Enumeration date
06/30/2006
Last updated
07/27/2015
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