Healthcare Provider Details

I. General information

NPI: 1033050737
Provider Name (Legal Business Name): RISING ABOVE BAKERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST
NYACK NY
10960-3219
US

IV. Provider business mailing address

32 REID CT
MAHWAH NJ
07430-1355
US

V. Phone/Fax

Practice location:
  • Phone: 646-541-4595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHIRI REUVENI-ULLRICH
Title or Position: PRESIDENT
Credential:
Phone: 646-541-4595