Provider Demographics
NPI:1619192960
Name:BECKER, RACHEL NEUMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:NEUMAN
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:DINA
Other - Last Name:NEUMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:876 PARK AVE # 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1843
Mailing Address - Country:US
Mailing Address - Phone:212-288-6660
Mailing Address - Fax:212-288-6665
Practice Address - Street 1:876 PARK AVE # 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1843
Practice Address - Country:US
Practice Address - Phone:212-288-6660
Practice Address - Fax:212-288-6665
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250057174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist