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NPI Code Detail

MEDICARE: RACHEL JOHNSON MSED

MEDICARE: RACHEL JOHNSON MSED
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
1174400000XSpecialist

General Provider Information

NPI Number : 1528998499
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL JOHNSON MSED
Provider Business Mailing Address
First Line : 505 GOODE ST
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-3409
Country : US
Telephone Number : 518-879-6645
Fax Number :
Provider Business Practice Location Address
First Line : 52 CORPORATE CIR
Second Line :
City : ALBANY
State : NY
Zip : 12203-5176
Country : US
Telephone Number : 518-456-4466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 06/01/2026

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Directions to “ RACHEL JOHNSON MSED” Practice Location

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