Provider Demographics
NPI:1609027499
Name:SORENSEN, RACHELLE HOCKNEY (RPH)
Entity Type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:HOCKNEY
Last Name:SORENSEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 E 49TH ST
Mailing Address - Street 2:APT 25E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1500
Mailing Address - Country:US
Mailing Address - Phone:917-741-2424
Mailing Address - Fax:212-253-1934
Practice Address - Street 1:253 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2926
Practice Address - Country:US
Practice Address - Phone:212-254-1454
Practice Address - Fax:212-253-1934
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist