Dr RACHEL I RAVEN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011 from State University Of New York Health Science Center Of Syracuse.
GOUVERNEUR HOSPITAL
2924 COUNTY ROUTE 17
DE KALB JUNCTION
NY
136303136
Tel: 3153473830
| Npi | 1689872566 |
| Pac Id | 4082863030 |
| Professional Enrollment Id | I20121005000625 |
| Last Name | RAVEN |
| First Name | RACHEL |
| Middle Name | I |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | GOUVERNEUR HOSPITAL |
| Group Practice Pac Id | 9931336724 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 2924 COUNTY ROUTE 17 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DE KALB JUNCTION |
| State | NY |
| Zip Code | 136303136 |
| Phone Number | 3153473830 |
| Hospital Affiliation Ccn 1 | 331315 |
| Hospital Affiliation Lbn 1 | GOUVERNEUR HOSPITAL |
| Hospital Affiliation Ccn 2 | 330197 |
| Hospital Affiliation Lbn 2 | CANTON-POTSDAM HOSPITAL |
| Hospital Affiliation Ccn 3 | 330211 |
| Hospital Affiliation Lbn 3 | CLAXTON-HEPBURN MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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