Individual provider · Type 1 NPI

Mindy Ruth Raclaw

Specialist · Rego Park, NY

NPI number 1508208745 Active

Practice location

6615 Thornton Pl Apt 2N
Rego Park, NY 11374-5125

Call (718) 261-1138 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508208745

Mindy Ruth Raclaw's National Provider Identifier is 1508208745, issued on Jul 29, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Jul 29, 2013.