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General NPI Number Information
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NPI Number | 1194251801
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Entity Type | Individual
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Provider Name | YOOJIN RACHEL RHEE DMD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 220 RIVERSIDE BLVD
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City | NEW YORK
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State | NY
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Zip | 10069-1001
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Country | US
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Telephone | 212-810-6562
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E 20TH ST APT 54
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City | NEW YORK
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State | NY
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Zip | 10003-1850
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Country | US
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Telephone | 443-845-1975
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 060319
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License Number State | NY
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