Individual
CARMEN RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 HOWELLS RD, BAY SHORE, NY 11706-1945
(347) 284-8558
Mailing address
1201 HOWELLS RD, BAY SHORE, NY 11706-1945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
652833-1
NY
Other
Enumeration date
12/11/2012
Last updated
04/17/2013
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