Provider Demographics
NPI:1619379062
Name:RAGOSTA, RACHEL ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:RAGOSTA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:FINDLEY LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:14736-9717
Mailing Address - Country:US
Mailing Address - Phone:208-651-8616
Mailing Address - Fax:716-487-1802
Practice Address - Street 1:207 FOOTE AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701
Practice Address - Country:US
Practice Address - Phone:716-485-7892
Practice Address - Fax:716-487-1802
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPA-1458363AM0700X
WAPA60504943363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical