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NPI Code Detail

MEDICARE: RACHEL ROSENBERG

MEDICARE:   RACHEL  ROSENBERG
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
1363A00000XPhysician Assistant008757NY

General Provider Information

NPI Number : 1972454619
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ROSENBERG
Provider Business Mailing Address
First Line : 1229 BROADWAY STE 201
Second Line :
City : HEWLETT
State : NY
Zip : 11557-2014
Country : US
Telephone Number : 516-501-9840
Fax Number : 516-501-9850
Provider Business Practice Location Address
First Line : 1229 BROADWAY STE 201
Second Line :
City : HEWLETT
State : NY
Zip : 11557-2014
Country : US
Telephone Number : 516-501-9840
Fax Number : 516-501-9850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ RACHEL ROSENBERG ” Practice Location

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