| Nunziata Raschella Md Pllc | |
|
97 Fulton Ave Poughkeepsie NY 12603-2807 | |
| (845) 486-7520 | |
| (845) 486-8090 |
| Full Name | Nunziata Raschella Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 97 Fulton Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Nunziata Raschella (PRESIDENT) |
| Authorized Official Contact | 8454867520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nunziata Raschella Md Pllc 97 Fulton Ave Poughkeepsie NY 12603-2807 Ph: (845) 486-7520 | Nunziata Raschella Md Pllc 97 Fulton Ave Poughkeepsie NY 12603-2807 Ph: (845) 486-7520 |
| NPI Number | 1073785192 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/18/2013 |
| Medicare PECOS PAC ID | 2961465281 |
|---|---|
| Medicare Enrollment ID | O20041108001037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073785192 | NPI | - | NPPES |
| 01896157 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 211945 (New York) | Primary |
| Provider Name | Nunziata Raschella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700806569 PECOS PAC ID: 0941263263 Enrollment ID: I20041118001112 |
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