Healthcare Provider Details

I. General information

NPI: 1427369008
Provider Name (Legal Business Name): RACHEL ZINNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 JUNE ST
SANFORD ME
04073-2621
US

IV. Provider business mailing address

40 EXCHANGE PL
NEW YORK NY
10005-2701
US

V. Phone/Fax

Practice location:
  • Phone: 207-324-4310
  • Fax:
Mailing address:
  • Phone: 617-216-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD24922
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number263764
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: