Individual
RACHELLE GOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
130 FORT WASHINGTON AVE, SUITE 1M, NEW YORK, NY 10032-4724
(212) 568-8600
Mailing address
130 FORT WASHINGTON AVE, SUITE 1M, NEW YORK, NY 10032-4724
(212) 305-2241
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007118
NY
Other
Enumeration date
10/25/2006
Last updated
11/03/2008
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