Provider Demographics
NPI:1124389986
Name:PLESH, RACHEL MARIE (MS SPEC ED)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:PLESH
Suffix:
Gender:F
Credentials:MS SPEC ED
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:GULLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS SPEC ED
Mailing Address - Street 1:4048 FOXWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7370
Mailing Address - Country:US
Mailing Address - Phone:716-634-5098
Mailing Address - Fax:
Practice Address - Street 1:4048 FOXWOOD LN
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-7370
Practice Address - Country:US
Practice Address - Phone:716-634-5098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY359269091174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist