Healthcare Provider Details

I. General information

NPI: 1629445408
Provider Name (Legal Business Name): RACHEL RUSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BIRCH HILL CT
OLD WESTBURY NY
11568-1224
US

IV. Provider business mailing address

3 BIRCH HILL CT
OLD WESTBURY NY
11568-1224
US

V. Phone/Fax

Practice location:
  • Phone: 917-642-4400
  • Fax:
Mailing address:
  • Phone: 917-642-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number019748
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: