Healthcare Provider Details

I. General information

NPI: 1518446772
Provider Name (Legal Business Name): RACHEL LILY NASH-HOGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 YORK ST
UTICA NY
13502-3929
US

IV. Provider business mailing address

124 MORGAN LN
ONEIDA NY
13421-1839
US

V. Phone/Fax

Practice location:
  • Phone: 315-792-2210
  • Fax:
Mailing address:
  • Phone: 518-888-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number027896
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: