Rachelle Goller O.D.

NPI 1689758419 - Optometrist - 152W00000X

NPI Details
NPI 1689758419
Gender Female
Enumeration Date 10/25/2006
Last Updated 11/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
130 FORT WASHINGTON AVE
SUITE 1M
NEW YORK NY, 10032-4724, US
Phone (212) 568-8600
Fax
Business Location
130 FORT WASHINGTON AVE
SUITE 1M
NEW YORK NY, 10032-4724, US
Phone (212) 305-2241
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number 007118
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According to our database, Rachelle Goller O.D. NPI is 1689758419, taxonomy code is 152W00000X and license number is 007118, license state is located at New York. Rachelle Goller O.D. physically located at 130 Fort Washington Ave, New York NY, 10032-4724. NPI Number Rachelle Goller O.D. has the Individual type.

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1689758419 NPI number is provided on an as is basis without warranty of any kind. 1689758419 is maintained by the National Plan & Provider Enumeration System. The contents of Rachelle Goller O.D. are for informational purposes only.