MEDICARE: DR. RACHEL A. WARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD19408	ME
2	2084P0800X	Psychiatry Physician	4301104531	MI
3	2084P0800X	Psychiatry Physician	293559	NY

General Provider Information

NPI Number	:	1336307438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL A. WARD MD

Provider Business Mailing Address
First Line	:	135 OCEAN PKWY APT 1P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2579
Country	:	US
Telephone Number	:	718-568-6061
Fax Number	:	415-728-9704

Provider Business Practice Location Address
First Line	:	135 OCEAN PKWY APT 1P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2579
Country	:	US
Telephone Number	:	718-568-6061
Fax Number	:	415-728-9704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	11/15/2019

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