Healthcare Provider Details

I. General information

NPI: 1720061757
Provider Name (Legal Business Name): RACHEL SAUNDERS PULLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 06/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQUARE EAST
NEW YORK NY
10087-0001
US

IV. Provider business mailing address

PO BOX 5806
NEW YORK NY
10087-5806
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8719
  • Fax:
Mailing address:
  • Phone: 212-844-8719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number203206
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: