Provider Demographics
NPI:1396008496
Name:MEGYESI, RACHEL MARY (NPP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARY
Last Name:MEGYESI
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARY
Other - Last Name:ANDRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NPP
Mailing Address - Street 1:1362 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3017
Mailing Address - Country:US
Mailing Address - Phone:518-374-0295
Mailing Address - Fax:518-377-3729
Practice Address - Street 1:1362 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3017
Practice Address - Country:US
Practice Address - Phone:518-374-0295
Practice Address - Fax:518-377-3729
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401471363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03520101Medicaid
NY03520101Medicaid