Provider Demographics
NPI:1457450900
Name:VASQUEZ-WIILIAMS, RACHEL (AUD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:VASQUEZ-WIILIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 NORTHERN BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1506
Mailing Address - Country:US
Mailing Address - Phone:516-801-0579
Mailing Address - Fax:516-801-0580
Practice Address - Street 1:1025 NORTHERN BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1506
Practice Address - Country:US
Practice Address - Phone:516-801-0579
Practice Address - Fax:516-801-0580
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000718-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist