Individual
MRS. CELESTE M RAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 BROWN RD, ITHACA, NY 14850-1247
(607) 274-6361
Mailing address
345 RACHEL CARSON TRL, ITHACA, NY 14850-8403
(201) 563-3578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
670563
NY
163WC1500X
Community Health Registered Nurse
670563
NY
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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