Provider Demographics
NPI:1629000278
Name:BRANDOFF, RACHEL (PHD, ATR-BCCS,LCAT)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:BRANDOFF
Suffix:
Gender:F
Credentials:PHD, ATR-BCCS,LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4623 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-2117
Mailing Address - Country:US
Mailing Address - Phone:212-518-7077
Mailing Address - Fax:
Practice Address - Street 1:19 W 34TH ST STE 1200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:212-518-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000828221700000X
NY05 000828101Y00000X
NY221700000X
NY05 000828246ZA2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical