Provider Demographics
NPI:1841788353
Name:ROSENSTOCK, RACHEL (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ROSENSTOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:ROSENSTOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RACHEL GILDIN
Mailing Address - Street 1:20 DAKOTA ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3332
Mailing Address - Country:US
Mailing Address - Phone:862-668-7194
Mailing Address - Fax:
Practice Address - Street 1:25 ROBERT PITT DR STE 101
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3366
Practice Address - Country:US
Practice Address - Phone:845-425-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY748748163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health