Healthcare Provider Details

I. General information

NPI: 1396325668
Provider Name (Legal Business Name): RACHEL SIMONE FRENKLAK SIVAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL SIMONE FRENKLAK BS

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26901 76TH AVE
NEW HYDE PARK NY
11040-1433
US

IV. Provider business mailing address

3021 ARLINGTON AVE
BRONX NY
10463-3310
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-3000
  • Fax:
Mailing address:
  • Phone: 916-690-9570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number328477
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number328477-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: