Individual
RACHAEL PONGE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
226 E 70TH ST APT 6A, NEW YORK, NY 10021-5430
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308068-1
NY
Other
Enumeration date
10/13/2017
Last updated
02/26/2018
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