Healthcare Provider Details

I. General information

NPI: 1558623728
Provider Name (Legal Business Name): RACHEL E HARRINGTON ED.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 09/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 JOHNSON RD
MIDDLEPORT NY
14105-9629
US

IV. Provider business mailing address

9400 JOHNSON RD
MIDDLEPORT NY
14105-9629
US

V. Phone/Fax

Practice location:
  • Phone: 716-297-0798
  • Fax: 716-297-0998
Mailing address:
  • Phone: 716-297-0798
  • Fax: 716-297-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: