Provider Demographics
NPI:1124469721
Name:DALY, RACHAEL HELENA (FNP)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:HELENA
Last Name:DALY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:HELENA
Other - Last Name:DOLATOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 278980
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-784-2282
Mailing Address - Fax:585-785-9882
Practice Address - Street 1:1900 EMPIRE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-1934
Practice Address - Country:US
Practice Address - Phone:585-787-0720
Practice Address - Fax:585-787-9108
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily