Healthcare Provider Details

I. General information

NPI: 1770828568
Provider Name (Legal Business Name): RACHAEL E GEYER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MAIN ST
CHERRY VALLEY NY
13320-3735
US

IV. Provider business mailing address

1 ATWELL RD
COOPERSTOWN NY
13326-1301
US

V. Phone/Fax

Practice location:
  • Phone: 607-264-3036
  • Fax: 607-264-9326
Mailing address:
  • Phone: 76-264-3036
  • Fax: 607-264-9326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number336646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: