Provider Demographics
NPI:1801372156
Name:TISCHLER, RACHEL EMILY
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:EMILY
Last Name:TISCHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 OCEAN PKWY APT 3E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4069
Mailing Address - Country:US
Mailing Address - Phone:703-727-3137
Mailing Address - Fax:
Practice Address - Street 1:1075 OCEAN PKWY APT 3E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4069
Practice Address - Country:US
Practice Address - Phone:703-727-3137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022269363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant