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NPI Code Detail

MEDICARE: DR. RACHEL A DORSEY DPT

MEDICARE: DR. RACHEL A DORSEY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist033924-1NY

General Provider Information

NPI Number : 1235404989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL A DORSEY DPT
Provider Business Mailing Address
First Line : 175 W 107TH ST
Second Line : APT 5
City : NEW YORK
State : NY
Zip : 10025-3128
Country : US
Telephone Number : 413-537-2398
Fax Number :
Provider Business Practice Location Address
First Line : 1434 LONGFELLOW AVE
Second Line :
City : BRONX
State : NY
Zip : 10459-1604
Country : US
Telephone Number : 718-589-3060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2012
Last Update Date : 03/14/2012

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