Faustino, Rachael A

Faustino, Rachael A is an individual health care provider with primary practice located at 301 Manchester Rd Suite 105, Poughkeepsie NY 12603-2587. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Faustino, Rachael A can be contacted via phone (845) 452-1700.

Contact Information

Primary practice address
301 Manchester Rd Suite 105 Poughkeepsie NY 12603-2587
Phone: (845) 452-1700
Fax: (845) 452-1752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 603084 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382744 New York

Profile Details

NPI number 1154771061
LBN Legal business name Faustino, Rachael A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jul 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154771061 NPPES
New York MEDICAID 04763411

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