Individual
MAURICE RACHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 E 34TH ST FL 2, NEW YORK, NY 10016-4337
(212) 252-6171
Mailing address
PO BOX 95000-2449, PHILADELPHIA, PA 19195-2449
(212) 252-6066
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2170691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02094686
—
NY
Enumeration date
12/01/2005
Last updated
01/28/2014
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