Healthcare Provider Details

I. General information

NPI: 1184220790
Provider Name (Legal Business Name): RACHEL SCHIEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WHITE SPRINGS RD
GENEVA NY
14456-3061
US

IV. Provider business mailing address

581 ANGUS PT
PENN YAN NY
14527-9607
US

V. Phone/Fax

Practice location:
  • Phone: 315-230-4074
  • Fax:
Mailing address:
  • Phone: 585-944-1416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number025832
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: