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NPI Code Detail

MEDICARE: RACHEL DANIELLE FILTER CPNP

MEDICARE: RACHEL DANIELLE FILTER CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianF383129NY

General Provider Information

NPI Number : 1790391407
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL DANIELLE FILTER CPNP
Provider Business Mailing Address
First Line : 2704 GLENWOOD RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2326
Country : US
Telephone Number : 718-859-6440
Fax Number : 718-434-0368
Provider Business Practice Location Address
First Line : 2704 GLENWOOD RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2326
Country : US
Telephone Number : 718-859-6440
Fax Number : 718-434-0368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2020
Last Update Date : 09/23/2020

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Directions to “ RACHEL DANIELLE FILTER CPNP” Practice Location

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