Provider Demographics
NPI:1518254259
Name:FISCHER, RACHEL (MPA, RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MPA, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 66TH ST
Mailing Address - Street 2:ROOM 941
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6800
Mailing Address - Country:US
Mailing Address - Phone:646-888-5373
Mailing Address - Fax:646-888-4924
Practice Address - Street 1:300 E 66TH ST
Practice Address - Street 2:ROOM 941
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6800
Practice Address - Country:US
Practice Address - Phone:646-888-5373
Practice Address - Fax:646-888-4924
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005523133N00000X
896745133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist