Provider Demographics
NPI:1053673517
Name:DENARO, RACHEL YVETTE
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:YVETTE
Last Name:DENARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 PRIMROSE AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-2341
Mailing Address - Country:US
Mailing Address - Phone:347-255-1071
Mailing Address - Fax:
Practice Address - Street 1:262 PRIMROSE AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2341
Practice Address - Country:US
Practice Address - Phone:347-255-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist