Basic Information
Provider Information
NPI: 1861835076
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DELFANTI
FirstName: RACHEL
MiddleName: LAUREN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCHWARTZ
OtherFirstName: RACHEL
OtherMiddleName: LAUREN
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 1160 D PITTSFORD-VICTOR RD.
Address2: 2ND FLOOR, RADNET
City: PITTSFORD
State: NY
PostalCode: 145343825
CountryCode: US
TelephoneNumber: 5852188005
FaxNumber:  
Practice Location
Address1: 415 ROLLING OAKS DR.
Address2: SUITE 125 AND 230
City: THOUSAND OAKS
State: CA
PostalCode: 913611038
CountryCode: US
TelephoneNumber: 8057781513
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/08/2013
LastUpdateDate: 09/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XA134179CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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