Provider Demographics
NPI:1407408636
Name:GOLDSTEIN, RACHEL (CBC, CD, MA)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:CBC, CD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720424
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-0424
Mailing Address - Country:US
Mailing Address - Phone:917-855-8865
Mailing Address - Fax:
Practice Address - Street 1:3528 77TH ST APT 51
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-4580
Practice Address - Country:US
Practice Address - Phone:917-855-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN