Healthcare Provider Details

I. General information

NPI: 1841784840
Provider Name (Legal Business Name): RACHEL ZOLNO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

10 UNION SQ E
NEW YORK NY
10003-3314
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8888
  • Fax: 212-844-6945
Mailing address:
  • Phone: 212-844-8888
  • Fax: 212-844-6945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number329592
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: