Provider Demographics
NPI:1326404500
Name:HARVEST, RACHEL (MS RD)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:HARVEST
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 MULBERRY ST APT 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-5780
Mailing Address - Country:US
Mailing Address - Phone:917-375-4438
Mailing Address - Fax:315-988-1016
Practice Address - Street 1:245 MULBERRY ST APT 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-5780
Practice Address - Country:US
Practice Address - Phone:917-375-4438
Practice Address - Fax:315-988-1016
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1094732133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered