Provider Demographics
NPI:1477220705
Name:RACHAEL C. TERRITO, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Entity Type:Organization
Organization Name:RACHAEL C. TERRITO, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRITO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:716-699-9000
Mailing Address - Street 1:8211 TUG HILL RD
Mailing Address - Street 2:
Mailing Address - City:MACHIAS
Mailing Address - State:NY
Mailing Address - Zip Code:14101-9741
Mailing Address - Country:US
Mailing Address - Phone:716-353-1510
Mailing Address - Fax:
Practice Address - Street 1:25 BRISTOL LANE
Practice Address - Street 2:
Practice Address - City:ELLICOTTVILLE
Practice Address - State:NY
Practice Address - Zip Code:14731-1473
Practice Address - Country:US
Practice Address - Phone:716-699-9000
Practice Address - Fax:716-699-9147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care