Provider Demographics
NPI:1639937758
Name:SENTCHUK, RACHEL ROSE (RDN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ROSE
Last Name:SENTCHUK
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W 97TH ST APT 8G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-9235
Mailing Address - Country:US
Mailing Address - Phone:310-433-0342
Mailing Address - Fax:
Practice Address - Street 1:160 W 97TH ST APT 8G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-9235
Practice Address - Country:US
Practice Address - Phone:310-433-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86277233133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered