Provider Demographics
NPI:1639382724
Name:FASHANO, RACHEL BROOKS (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:BROOKS
Last Name:FASHANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:468 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1334
Mailing Address - Country:US
Mailing Address - Phone:716-847-1200
Mailing Address - Fax:716-847-1212
Practice Address - Street 1:468 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1334
Practice Address - Country:US
Practice Address - Phone:716-847-1200
Practice Address - Fax:716-847-1212
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010661-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10661-9WOtherWORKERS COMP
NYRA8004Medicare PIN
DD6421Medicare ID - Type Unspecified
NYC10661-9WOtherWORKERS COMP