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General NPI Number Information
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NPI Number | 1619718897
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Entity Type | Individual
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Provider Name | MRS. RACHEL RAICE
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 26B REUVEN STREET
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City | BET SHEMESH
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State | JERUSALEM
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Zip | 9954441
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Country | IL
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Telephone | 646-456-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LAURA LN
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City | SPRING VALLEY
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State | NY
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Zip | 10977-1106
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Country | US
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Telephone | 646-456-5310
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 509240-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 509240-1
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License Number State | NY
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