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Individual

RAKEL M ASTORGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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