National Provider Identifier
Rachael Beth Johengen, DO
Rachael Beth Johengen, DO is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Geneva, NY and a listed phone number of (315) 787-4000.
Profile Overview
- NPI
- 1134616642
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 19, 2018
- Last Updated
- June 20, 2022
Practice Location
- 196 North St
- Geneva, NY 14456-1694
Phone: (315) 787-4000
Mailing Address
- 20 Ellen Polimeni Blvd Apt 223
- Canandaigua, NY 14424-2251
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1134616642
- Entity Type
- Individual
- Last Name
- Johengen
- First Name
- Rachael
- Middle Name
- Beth
- Credential
- DO
- Provider Other Last Name
- Farley
- Provider Other First Name
- Rachael
- Provider Other Middle Name
- Beth
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 20 Ellen Polimeni Blvd Apt 223
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2251
- Mailing Country
- US
- Mailing Phone
- (585) 813-2023
- Practice Street Address
- 196 North St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1694
- Practice Country
- US
- Practice Phone
- (315) 787-4000
- Enumeration Date
- April 19, 2018
- Last Updated
- June 20, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- June 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)