Healthcare Provider Details

I. General information

NPI: 1306015367
Provider Name (Legal Business Name): RACHEL HAMELE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL BIGENWALD

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 11/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 MAIN ST THIRD FLOOR
BUFFALO NY
14209-1912
US

IV. Provider business mailing address

227 THORN AVE PO BOX 631
ORCHARD PARK NY
14127-2600
US

V. Phone/Fax

Practice location:
  • Phone: 716-842-6713
  • Fax: 716-842-0988
Mailing address:
  • Phone: 716-662-2040
  • Fax: 716-662-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number077151
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: