Healthcare Provider Details

I. General information

NPI: 1285874602
Provider Name (Legal Business Name): RACHEL J. HEYMAN L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 SECOND AVENUE 9TH FLOOR
NEW YORK NY
10029
US

IV. Provider business mailing address

1900 SECOND AVENUE 9TH FLOOR
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-360-7875
  • Fax: 212-348-7253
Mailing address:
  • Phone: 212-360-7875
  • Fax: 212-348-7253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080556-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: