MEDICARE: RACHMIN ISRAEL

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	012080	NY

General Provider Information

NPI Number	:	1861030306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHMIN ISRAEL

Provider Business Mailing Address
First Line	:	429 CEDARHURST AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-1214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	429 CEDARHURST AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-1214
Country	:	US
Telephone Number	:	347-585-5994
Fax Number	:

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

Provider Enumeration Date	:	12/16/2019
Last Update Date	:	09/09/2025

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