Individual
RAKEL M ASTORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 PROSPECT AVE, SUITE 190, HUDSON, NY 12534-2907
(518) 697-3000
(518) 697-3015
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8363
(518) 697-3388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
249738
NY
208600000X
Surgery Physician
Primary
249738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03026937
—
NY
Enumeration date
08/13/2008
Last updated
03/10/2009
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