| Doctor Name: | RACHAEL LOUISE CAVELLI |
| NPI Number: | 1053325100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 217149 |
| Business Practice Address: | 4939 Brittonfield Pkwy Cny Family Care East Syracuse, NY - 130579208 |
| Business Phone Number: | 3154631600 |
| Business Fax Number: | 3156346766 |
| Mailing Address: | 4939 Brittonfield Pkwy, Cny Family Care EAST SYRACUSE |
| State: | NY |
| Postal Code: | 130579208 |
| Phone Number: | 3154631600 |
| Fax Number: | 3156346766 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 01/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 217149 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |