Healthcare Provider Details

I. General information

NPI: 1760346019
Provider Name (Legal Business Name): RACHEL PAPPALARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL NASMAN

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 MADISON AVE
NEW YORK NY
10029-6542
US

IV. Provider business mailing address

26 OLD LYME RD
PURCHASE NY
10577-1523
US

V. Phone/Fax

Practice location:
  • Phone: 212-824-8580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number682993
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: