Provider Demographics
NPI:1093002677
Name:REDLICH, RACHEL T (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:T
Last Name:REDLICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:40 SUNSHINE COTTAGE RD
Mailing Address - Street 2:DEPT OF PEDIATRICS, NY MEDICAL COLLEGE
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1524
Mailing Address - Country:US
Mailing Address - Phone:914-493-7235
Mailing Address - Fax:
Practice Address - Street 1:40 SUNSHINE COTTAGE RD
Practice Address - Street 2:DEPT OF PEDIATRICS, NY MEDICAL COLLEGE
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1524
Practice Address - Country:US
Practice Address - Phone:914-493-7235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264346208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics