MEDICARE: RACHEL RIMBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		NY

General Provider Information

NPI Number	:	1316436579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL RIMBERG

Provider Business Mailing Address
First Line	:	3321 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5421
Country	:	US
Telephone Number	:	718-531-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2130 MCDONALD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2940
Country	:	US
Telephone Number	:	718-676-0215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	05/03/2018

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Directions to “ RACHEL RIMBERG ” Practice Location

Language	Start Address	Practice Location

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