Doctor Name: | RACHAEL CELIA BERTUZZI |
NPI Number: | 1457744393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 340258 |
Business Practice Address: | 3030 Westchester Ave Purchase, NY - 105772574 |
Business Phone Number: | 9148488630 |
Business Fax Number: | 9148488631 |
Mailing Address: | 3030 Westchester Ave, PURCHASE |
State: | NY |
Postal Code: | 105772574 |
Phone Number: | 9148488630 |
Fax Number: | 9148488631 |
NPI Enumeration Date: | 03/17/2015 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 340258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |