Provider Demographics
NPI:1427513399
Name:RATNER, RACHEL MARA (CGC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARA
Last Name:RATNER
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PROSPECT PARK W APT 12A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1741
Mailing Address - Country:US
Mailing Address - Phone:917-734-0024
Mailing Address - Fax:914-719-4542
Practice Address - Street 1:1 THEALL RD STE 103
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1404
Practice Address - Country:US
Practice Address - Phone:914-848-8596
Practice Address - Fax:914-719-4542
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS