Individual
MRS. RACHEL C O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. - C
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017521
NY
363AM0700X
Medical Physician Assistant
17521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03957802
—
NY
Enumeration date
11/17/2008
Last updated
06/29/2023
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