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General NPI Number Information
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NPI Number | 1346706801
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Entity Type | Individual
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Provider Name | RACHEL LUCENTE
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Gender | Female
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 682 FOREST AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-2507
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Country | US
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Telephone | 718-370-3730
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Fax | 718-698-9412
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Provider Business Mailing Address
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Address Line | 2177 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6603
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Country | US
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Telephone | 718-370-3730
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Fax | 718-698-9412
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 309081
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 309081
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 309081
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License Number State | NY
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