Healthcare Provider Details

I. General information

NPI: 1558788968
Provider Name (Legal Business Name): RACHEL DROLET NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 05/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

630 WEST 168TH STREET BOX 4
NEW YORK NY
10032-3725
US

V. Phone/Fax

Practice location:
  • Phone: 510-710-6414
  • Fax:
Mailing address:
  • Phone: 212-305-4308
  • Fax: 212-304-6610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberF340915-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF306416-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: