Provider Demographics
NPI:1609111236
Name:CAZALET, RACHEL L
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:CAZALET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:L
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 HELEN ST
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3869
Mailing Address - Country:US
Mailing Address - Phone:631-615-6609
Mailing Address - Fax:
Practice Address - Street 1:7 HELEN ST
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3869
Practice Address - Country:US
Practice Address - Phone:631-615-6609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist