National Provider Identifier

Rachael Wall

Rachael Wall is listed in the NPPES registry with a primary specialty of Specialist in Attica, NY and a listed phone number of (585) 813-7578.

NPI 1396084349Attica, NYSpecialist

Profile Overview

NPI
1396084349
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
February 12, 2013
Last Updated
February 12, 2013

Practice Location

  • 608 Vernal RD
  • Attica, NY 14011-9314

Phone: (585) 813-7578

Mailing Address

  • PO Box 292
  • Alexander, NY 14005-0292

Specialties

  • Specialist (174400000X)
Full Record
NPI
1396084349
Entity Type
Individual
Last Name
Wall
First Name
Rachael
Mailing Street Address
PO Box 292
Mailing City
Alexander
Mailing State
NY
Mailing ZIP Code
14005-0292
Mailing Country
US
Practice Street Address
608 Vernal RD
Practice City
Attica
Practice State
NY
Practice ZIP Code
14011-9314
Practice Country
US
Practice Phone
(585) 813-7578
Enumeration Date
February 12, 2013
Last Updated
February 12, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)