Provider Demographics
NPI:1518378421
Name:ZSCHOKKE, RAEANN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:RAEANN
Middle Name:MARIE
Last Name:ZSCHOKKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 MADISON AVE RM 404
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5581
Mailing Address - Country:US
Mailing Address - Phone:646-526-7978
Mailing Address - Fax:
Practice Address - Street 1:18 E 41ST ST FL 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6244
Practice Address - Country:US
Practice Address - Phone:646-526-7978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00756600111N00000X
MN5939111N00000X
NY012535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor