Provider Demographics
NPI:1740474501
Name:HINSCH, RAQUEL EMRALINO (NP)
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:EMRALINO
Last Name:HINSCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:RAQUEL
Other - Middle Name:EMRALINO
Other - Last Name:CIRUZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:217 GAINSBORG AVE E
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2101
Mailing Address - Country:US
Mailing Address - Phone:914-714-2171
Mailing Address - Fax:
Practice Address - Street 1:217 GAINSBORG AVE E
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2101
Practice Address - Country:US
Practice Address - Phone:914-714-2171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340038-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01853543Medicaid