Provider Demographics
NPI:1235907437
Name:SETAREH, RACHEL DORIT (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DORIT
Last Name:SETAREH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5012
Mailing Address - Country:US
Mailing Address - Phone:917-304-0202
Mailing Address - Fax:
Practice Address - Street 1:2050 COLEMAN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5012
Practice Address - Country:US
Practice Address - Phone:917-304-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant