Rachel Ann Iorio
Individual provider Active NPI Specialist · Amsterdam, NY
NPI 1508158809 · NPPES record last updated May 5, 2011
Key facts
- NPI
- 1508158809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1166612 (NY)
- Practice address
- 40 Henrietta Blvd
Amsterdam, NY 12010-1111 - Phone
- (518) 843-3003
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1166612 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1166612 | NY | Yes |
Addresses
Primary practice location
40 Henrietta Blvd
Amsterdam, NY 12010-1111
Mailing address
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 875-6141
Other names
- Miss Rachel Ann Henze
NPI Registry JSON
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1508158809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HENRIETTA BLVD",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101111",
"telephone_number": "518-843-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IORIO",
"first_name": "RACHEL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1166612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "HENZE",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "MS ED",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.