MEDICARE: RACQUEL GHANIE

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		NY

General Provider Information

NPI Number	:	1679439533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACQUEL GHANIE

Provider Business Mailing Address
First Line	:	24318 132ND RD
Second Line	:
City	:	ROSEDALE
State	:	NY
Zip	:	11422-1413
Country	:	US
Telephone Number	:	631-645-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 PALMER AVE STE 606
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-2437
Country	:	US
Telephone Number	:	855-400-5683
Fax Number	:

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ RACQUEL GHANIE ” Practice Location

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