Healthcare Provider Details

I. General information

NPI: 1982522025
Provider Name (Legal Business Name): RACHAEL PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 SUNRISE HWY
LINDENHURST NY
11757-2505
US

IV. Provider business mailing address

15 MULBERRY DR
SMITHTOWN NY
11787-3108
US

V. Phone/Fax

Practice location:
  • Phone: 516-604-2625
  • Fax:
Mailing address:
  • Phone: 516-849-4062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number14000082696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: