Provider Demographics
NPI:1639619430
Name:STEARN, RACHEL (MSED, AD CERT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STEARN
Suffix:
Gender:F
Credentials:MSED, AD CERT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:DUBOVSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, AD CERT
Mailing Address - Street 1:664 ORANGEBURG RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:664 ORANGEBURG RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2830
Practice Address - Country:US
Practice Address - Phone:845-735-3066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist