Healthcare Provider Details

I. General information

NPI: 1821927104
Provider Name (Legal Business Name): RACHEL SHIREEN GOLPANIAN MD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 E 79TH ST APT 1A
NEW YORK NY
10075-0570
US

IV. Provider business mailing address

156 E 79TH ST APT 1A
NEW YORK NY
10075-0570
US

V. Phone/Fax

Practice location:
  • Phone: 212-879-6614
  • Fax: 212-879-4669
Mailing address:
  • Phone: 212-879-6614
  • Fax: 212-879-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. WENDY RABOY
Title or Position: SUPERVISOR
Credential:
Phone: 212-879-6614