Provider Demographics
NPI:1386377794
Name:BERGER, RACHEL K
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:K
Last Name:BERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WEST 16TH STREET
Mailing Address - Street 2:9UN
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:917-363-6115
Mailing Address - Fax:
Practice Address - Street 1:16 WEST 16TH STREET
Practice Address - Street 2:9UN
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:917-363-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency