Provider Demographics
NPI:1346834439
Name:SOKOLOWSKI, RACHAEL LUCILLE (ATR-BC, LCAT)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:LUCILLE
Last Name:SOKOLOWSKI
Suffix:
Gender:F
Credentials:ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MAHONEY PL
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1917
Mailing Address - Country:US
Mailing Address - Phone:315-292-8721
Mailing Address - Fax:
Practice Address - Street 1:7 MAHONEY PL
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1917
Practice Address - Country:US
Practice Address - Phone:315-292-8721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001729-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist