Healthcare Provider Details

I. General information

NPI: 1811871890
Provider Name (Legal Business Name): RACHEL YOU FNP-BC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 MADISON AVE
NEW YORK NY
10029-6542
US

IV. Provider business mailing address

4738 11TH ST APT 7
LONG ISLAND CITY NY
11101-5544
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6500
  • Fax:
Mailing address:
  • Phone: 267-394-2914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number752453
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: