Provider Demographics
NPI:1528268208
Name:ALCIDE, RACHELLE (PT)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:
Last Name:ALCIDE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:ALCIDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:445 LENOX RD
Mailing Address - Street 2:BOX 30
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2017
Mailing Address - Country:US
Mailing Address - Phone:718-270-2811
Mailing Address - Fax:718-270-1247
Practice Address - Street 1:445 LENOX RD
Practice Address - Street 2:BOX 30
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2017
Practice Address - Country:US
Practice Address - Phone:718-270-2811
Practice Address - Fax:718-270-1247
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28666225100000X
NY027601-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist