Provider Demographics
NPI:1891220992
Name:TAVEL, RACHEL (DPT)
Entity Type:Individual
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First Name:RACHEL
Middle Name:
Last Name:TAVEL
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Gender:F
Credentials:DPT
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Mailing Address - Street 1:95 UNIVERSITY PL
Mailing Address - Street 2:FL 8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4515
Mailing Address - Country:US
Mailing Address - Phone:212-604-1316
Mailing Address - Fax:212-604-1320
Practice Address - Street 1:409 FULTON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5103
Practice Address - Country:US
Practice Address - Phone:718-260-1000
Practice Address - Fax:718-260-0072
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2019-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY041041-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist