Provider Demographics
NPI:1427209683
Name:BERROL, ANN RACHEL
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:RACHEL
Last Name:BERROL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:RACHEL
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 BENNER RD
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1543
Mailing Address - Country:US
Mailing Address - Phone:845-758-0241
Mailing Address - Fax:845-758-5746
Practice Address - Street 1:30 BENNER RD
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1543
Practice Address - Country:US
Practice Address - Phone:845-758-0241
Practice Address - Fax:845-758-5746
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical