MEDICARE: RACHEL BLAU

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508608175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BLAU

Provider Business Mailing Address
First Line	:	121 SAINT MARKS PL APT 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-5150
Country	:	US
Telephone Number	:	908-370-9947
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 BROADWAY FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10004-1614
Country	:	US
Telephone Number	:	212-701-9620
Fax Number	:

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

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	01/27/2026

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Directions to “ RACHEL BLAU ” Practice Location

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