Individual
DR. LESLIE SCOTT RACHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1243 PENNSYLVANIA AVE, PINE CITY, NY 14871-9230
(607) 734-3929
(607) 734-0781
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
145299-1
NY
207Q00000X
Family Medicine Physician
MD022278E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011074960003
—
PA
05
—
00671210
—
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/23/2006
Last updated
10/16/2007
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