Provider Demographics
NPI:1316728504
Name:LEVIHAIEM, RACHEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:LEVIHAIEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3942
Mailing Address - Country:US
Mailing Address - Phone:718-791-1085
Mailing Address - Fax:
Practice Address - Street 1:250 SKILLMAN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1297
Practice Address - Country:US
Practice Address - Phone:718-964-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist