Individual
MRS. KATHLENE RAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
400 HORSEBLOCK RD, SUITE H, FARMINGVILLE, NY 11738-1252
(631) 451-2211
(631) 451-1463
Mailing address
400 HORSEBLOCK RD, SUITE H, FARMINGVILLE, NY 11738-1252
(631) 451-2211
(631) 451-1463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009327-1
NY
363AM0700X
Medical Physician Assistant
Primary
009327-1
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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